Individual
ROBERTA COSTANTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8757 BRECKSVILLE RD, BRECKSVILLE, OH 44141-1919
(440) 546-0643
Mailing address
4319 OAKES RD, BRECKSVILLE, OH 44141-2560
(440) 759-9178
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
00508
OH
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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