Individual
MELISSA W. COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RRT
Contact information
Practice address
401 N MAIN ST, KENANSVILLE, NC 28349-8801
(910) 296-0941
Mailing address
526 EVOLVE DR, GARNER, NC 27529-4693
(919) 262-6088
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
6683
NC
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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