Individual
ASHLEY COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2117 46TH ST, PENNSAUKEN, NJ 08110-2011
(856) 729-6858
Mailing address
2117 46TH ST, PENNSAUKEN, NJ 08110-2011
(856) 729-6858
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NA200016000
NJ
Other
Enumeration date
07/22/2015
Last updated
07/22/2015
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