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Robert Costa, LMT
NPI 1598963845 · on the registry since 2007 · sole proprietor
Practice
- Address
- 19 Camino Linda
Tijeras, NM 87059 - Phone
- (505) 417-6182
Additional practice sites
- 25 Vista Grande, Cedar Crest, NM
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- NM
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-11-13
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 New Mexico