Individual
MRS. MARY COSTELLO WRIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 LAWRENCE EXPY # 190, SANTA CLARA, CA 95051-5173
(408) 851-1141
(408) 851-1199
Mailing address
710 LAWRENCE EXPY # 190, SANTA CLARA, CA 95051-5173
(408) 851-1141
(408) 851-1199
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
19296
CA
Other
Enumeration date
04/08/2010
Last updated
12/30/2021
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