Individual
AINE MARIE KOSKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1329 SPANOS CT STE C3, MODESTO, CA 95355-2806
(209) 530-3774
Mailing address
3113 NOTTINGHAM LN, MODESTO, CA 95350-1564
(209) 678-7722
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
661809
CA
363LF0000X
Family Nurse Practitioner
Primary
21495
CA
Other
Enumeration date
01/24/2012
Last updated
04/20/2023
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