Individual
CHAREE NE'SHELL COSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
Mailing address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 222-2222
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
49672
SC
Other
Enumeration date
10/01/2021
Last updated
03/02/2022
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