Individual
JESSE COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1507 PLEASANT ST, FALL RIVER, MA 02723-1914
(774) 704-5501
Mailing address
PO BOX 4111, FALL RIVER, MA 02723-0400
(774) 704-5501
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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