Individual
ARSENE COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2383 DENTON RD, DOTHAN, AL 36303-1649
(334) 699-5218
Mailing address
2383 DENTON RD, DOTHAN, AL 36303-1649
(334) 699-5218
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
578-688
AL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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