Individual
MRS. JOLENE THERESE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2069 S DELATORRE DRIVE, HIGLEY, AZ 85236-5424
(480) 279-7715
(480) 279-7705
Mailing address
3333 E VEST AVE, HIGLEY, AZ 85236-5424
(480) 279-7000
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
AZ
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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