Individual
AUDRA COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
128 UNION ST, STE 204, NEW BEDFORD, MA 02740
(508) 996-9622
Mailing address
288 STONEHAVEN RD, FALL RIVER, MA 02723-3533
(508) 674-2302
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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