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VICTORIA ALEXA COSTANZO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
301 S 8TH ST STE 2L, PHILADELPHIA, PA 19106-4017
(267) 322-7700
Mailing address
101 W BROWNING RD APT 11A, COLLINGSWOOD, NJ 08108-2954

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN632794
PA

Other

Enumeration date
10/09/2019
Last updated
05/18/2020
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