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Desiree Costello

NPI 1316475163 · on the registry since 2017 · sole proprietor

Practice

Address
4250 Louise Dr
Carson City, NV 89706
Phone
(775) 530-5133

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
NV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2022-07-21

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Nevada