Individual
MRS. SHEILA DAWN COSTANZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 BREWSTER BLVD, CAMP LEJEUNE, NC 28547-2538
(910) 450-4698
Mailing address
5144 VERMONT CT, CAMP LEJEUNE, NC 28547-1122
(910) 478-6905
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
70005
NC
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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