Individual
CLAUDIA CANDICE COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4201 E KNOX RD APT 306, PHOENIX, AZ 85044-4701
(951) 751-6495
Mailing address
2155 E LIBERTY LN APT 306, PHOENIX, AZ 85048-8140
(951) 751-6495
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/13/2019
Last updated
06/13/2019
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