Individual
JESSICA MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,CNM
Contact information
Practice address
123 3RD ST SE, MASSILLON, OH 44646-6606
(330) 832-2229
Mailing address
123 3RD ST SE, MASSILLON, OH 44646-6606
(330) 832-2229
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
COA.14487-NM
OH
Other
Enumeration date
05/06/2013
Last updated
09/12/2013
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