Individual
KRYSTAL LYNNE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
149 MAPLE LEAF LN, MORGANTOWN, WV 26508-5973
(304) 376-2309
Mailing address
149 MAPLE LEAF LN, MORGANTOWN, WV 26508-5973
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/29/2025
Last updated
05/29/2025
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