Individual
AMY K COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
544 AVALON AVE, AKRON, OH 44320-2047
(330) 812-0499
Mailing address
544 AVALON AVE, AKRON, OH 44320-2047
(330) 812-0499
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN321202
OH
Other
Enumeration date
04/04/2010
Last updated
04/04/2010
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