Individual
BELINDA MARIE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
975 N D ST, STOCKTON, CA 95205-4367
(209) 993-4584
Mailing address
975 N D ST, STOCKTON, CA 95205-4367
(209) 993-4584
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
532009
CA
Other
Enumeration date
05/16/2022
Last updated
05/16/2022
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