Individual
MR. CRAIG DOUGLAS COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12755 BROOKHURST ST, 116, GARDEN GROVE, CA 92840-4857
(714) 638-8277
Mailing address
12755 BROOKHURST ST, 116, GARDEN GROVE, CA 92840-4857
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/21/2010
Last updated
05/21/2010
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