Individual
SHAYLYNN M COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
2116 SUNSET AVE, OCEAN, NJ 07712-4672
(732) 414-9423
Mailing address
202 HILLCREST AVE, NEPTUNE CITY, NJ 07753-5731
(732) 779-5064
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00146000
NJ
Other
Enumeration date
09/20/2020
Last updated
09/21/2020
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