Individual
KATHLEEN COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
301 3RD ST NW, WINTER HAVEN, FL 33881-4094
(718) 344-5709
Mailing address
2483 SAINT AUGUSTINE BLVD, HAINES CITY, FL 33844-2420
(718) 344-5709
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3902
FL
Other
Enumeration date
05/22/2019
Last updated
05/22/2019
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