Individual
MISS JACLYN P COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
701 MANATEE AVE W STE 201, BRADENTON, FL 34205-8624
(941) 749-5222
(941) 749-1839
Mailing address
701 MANATEE AVE W STE 201, BRADENTON, FL 34205-8624
(941) 749-5222
(941) 749-1839
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY2116
FL
Other
Enumeration date
06/05/2017
Last updated
07/21/2022
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