Individual
BARBARA LACEY COSTELLOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9105 MARGARET ST NW, MASSILLON, OH 44646-1638
(330) 327-0349
Mailing address
9105 MARGARET ST NW, MASSILLON, OH 44646-1638
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.387371
OH
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/14/2022
Last updated
12/14/2022
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