Individual
DEVAN SUZANNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
101 HARVARD LOOP, DELAWARE, OH 43015-8447
(614) 596-5301
Mailing address
1479 KING AVE, COLUMBUS, OH 43212-2153
(614) 596-5301
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
OH
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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