Individual
BRYANNA L COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 SAINT JOHNS CT., OSAGE, WV 26543
(307) 276-0150
Mailing address
219 BERTHA HILL RD, MAIDSVILLE, WV 26541-8095
(304) 282-3948
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/28/2026
Last updated
04/28/2026
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