Individual
AGATHA L D'COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-3366
Mailing address
6900 GEORGIA AVENUE NW, WRAMC ATTENTION MCHL-MAO-C, WASHINGTON, DC 20307-5001
(202) 782-3366
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN968444
DC
Other
Enumeration date
09/07/2007
Last updated
04/28/2008
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