Individual
ANGELA COSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
974 MARS PL, VINELAND, NJ 08360-2627
(856) 285-3181
Mailing address
974 MARS PL, VINELAND, NJ 08360-2627
(856) 285-3181
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/26/2022
Last updated
12/26/2022
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