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Amy Costello
NPI 1548711492 · on the registry since 2016
Practice
- Address
- 2028 Lincoln Ave
San Jose, CA 95125 - Phone
- (708) 415-8858
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-13
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 California