Individual
DEANNA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7867 CONVOY CT STE 307, SAN DIEGO, CA 92111-1214
(858) 278-1137
Mailing address
7867 CONVOY CT STE 307, SAN DIEGO, CA 92111-1214
(858) 278-1137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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