Individual
OTHON SOUZA COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5648 STANTON AVE APT 1F, PITTSBURGH, PA 15206-2193
(518) 567-7795
Mailing address
5648 STANTON AVE APT 1F, PITTSBURGH, PA 15206-2193
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN765598
PA
Other
Enumeration date
02/08/2023
Last updated
02/08/2023
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