Individual
MARTHA ROSE COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 O ST STE 200, LINCOLN, NE 68508-1400
(531) 500-3623
Mailing address
1201 O ST STE 200, LINCOLN, NE 68508-1400
(531) 500-3623
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
09/08/2025
Last updated
09/08/2025
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