Individual
KATELYN DANIELLE COSTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM, MSM
Contact information
Practice address
10613 SW 138TH ST, VASHON, WA 98070-3332
(805) 404-8371
Mailing address
PO BOX 343, VASHON, WA 98070-0343
(805) 404-8371
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61098063
WA
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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