Individual
ANDREA L COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1720 S 48TH ST, OMAHA, NE 68106-2507
(531) 299-1060
Mailing address
1720 S 48TH ST, OMAHA, NE 68106-2507
(531) 299-1060
(531) 299-1079
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
NE
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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