Individual
ANNA ELIZABETH COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 9TH AVE, SACRAMENTO, CA 95820-1452
(916) 736-0828
(916) 736-0395
Mailing address
4545 9TH AVE, SACRAMENTO, CA 95820-1452
(916) 736-0828
(916) 736-0395
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/12/2007
Last updated
10/12/2007
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