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Michael Earl Acero IV

Community Health Worker in Las Vegas, NV. Individual provider (NPI-1).

NPI number1750117016
StatusActive
Last updated in NPPESSep 12, 2024

Details

NPI
1750117016
Entity type
Individual (NPI-1)
Name
Michael Earl Acero IV
Sex
Male
Sole proprietor
Yes
Enumeration date
Sep 12, 2024
Certification date
Sep 9, 2024
Last updated
Sep 12, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health WorkerCHW1-5829NVYes

Practice location

5330 Duralite St Unit 203
Las Vegas, NV 89122-7364

Phone 714-292-6726

Mailing address

5330 Duralite St Unit 203
Las Vegas, NV 89122-7364

Phone 714-292-6726

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