Individual
MS. KAITLIN MARIE COSTELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, LDN
Contact information
Practice address
504 13TH ST SE, APT 2, WASHINGTON, DC 20003-2224
(410) 688-9009
Mailing address
504 13TH ST SE, APT 2, WASHINGTON, DC 20003-2224
(410) 688-9009
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4032
MD
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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