Individual
YVONNE COSTELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
930 TAHOE BLVD, INCLINE VILLAGE, NV 89451-9451
(775) 831-3111
(775) 831-9116
Mailing address
930 TAHOE BLVD, INCLINE VILLAGE, NV 89451-9451
(775) 831-3111
(775) 831-9116
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
10614
NV
183500000X
Pharmacist
43133
CA
Other
Enumeration date
05/15/2014
Last updated
05/15/2014
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