Individual
MRS. JUDY ANN COSTALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
620 S MCKINLEY ST, CASPER, WY 82601-3414
(307) 337-5351
Mailing address
620 S MCKINLEY ST, CASPER, WY 82601-3414
(307) 337-5351
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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