Individual
MR. JAMES WILLIAM COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, MSHS, MBA
Contact information
Practice address
5145 S DURANGO DR STE 102, LAS VEGAS, NV 89113-0161
(702) 367-7777
Mailing address
PO BOX 400787, LAS VEGAS, NV 89140-0787
(702) 367-7777
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
01/02/2023
Last updated
11/16/2024
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