Individual
JANE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 NEWPORT AVE, ATTLEBORO, MA 02703-4453
(508) 566-2315
Mailing address
41 NEWPORT AVE, ATTLEBORO, MA 02703-4453
(508) 566-2315
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN204489
MA
Other
Enumeration date
10/23/2014
Last updated
10/23/2014
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