Individual
MR. GODFREY COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 BEECHWOOD AVENUE, ELIZABETH CITY, NC 27909
(252) 207-6837
Mailing address
107 BEECHWOOD AVENUE, ELIZABETH CITY, NC 27909
(252) 207-6837
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/27/2023
Last updated
07/27/2023
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