Individual
ELIZABETH SARAH COSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41551 DATE ST, MURRIETA, CA 92562-7086
(951) 465-3664
Mailing address
41551 DATE ST, MURRIETA, CA 92562-7086
(951) 465-3664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95439110
CA
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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