Individual
KRISTY LEE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
10 SHORE RD, BERKLEY, MA 02779-2323
(774) 888-8734
Mailing address
10 SHORE RD, BERKLEY, MA 02779-2323
(774) 888-8734
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2326663
MA
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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