Individual
ELAINE MARIE COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9500 EUCLID AVE, E20, CLEVELAND, OH 44195-0001
(216) 444-6550
Mailing address
9500 EUCLID AVE, E20, CLEVELAND, OH 44195-0001
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
COA.13153-NA
OH
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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