Individual
CHRISTINA M COSETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
(209) 541-2083
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 541-2121
(209) 541-2083
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
821549
CA
164X00000X
Licensed Vocational Nurse
24012
CA
Other
Enumeration date
08/12/2010
Last updated
03/14/2013
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