Individual
JAMIE CHRISTINA COSTELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 E ASHTABULA ST, JEFFERSON, OH 44047-1162
(440) 576-3921
(440) 576-3594
Mailing address
5 E ASHTABULA ST, JEFFERSON, OH 44047-1162
(440) 576-3921
(440) 576-3594
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
09210158
OH
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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