Individual
MRS. AMY LYNN COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 471-1866
Mailing address
9036 BORDELON LOOP, KAILUA, HI 96734-5438
(985) 209-8503
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
75691
HI
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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