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MS. PAULA L COSTANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PNP

Contact information

Practice address
3020 CHILDRENS WAY, SAN DIEGO, CA 92123-4223
(858) 966-5846
Mailing address
7325 VASSAR AVE, LA MESA, CA 91942-8721
(619) 461-5573

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
276741
CA

Other

Enumeration date
10/12/2011
Last updated
03/05/2012
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