Individual
KRISTINA MARY KOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
547 PARK PL, SALINE, MI 48176-1264
(734) 604-5876
Mailing address
547 PARK PL, SALINE, MI 48176-1264
(734) 604-5876
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
4704245781
MI
Other
Enumeration date
10/07/2018
Last updated
10/07/2018
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