Individual
JANE A COSTLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
401 7TH ST, WINDBER, PA 15963-1344
(814) 467-4578
Mailing address
401 7TH ST, WINDBER, PA 15963-1344
(814) 467-4578
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
89292
PA
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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