Search › California › 106H00000X
Courtney Costello
NPI 1639843659 · on the registry since 2021
Practice
- Address
- 4545 Georgetown Suite A3
Stockton, CA 95207 - Phone
- (209) 955-1139
Additional practice sites
- 2630 W Rumble Rd, Modesto, CA
- 10400 Fricot City Rd, San Andreas, CA
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Also registered as
- 106S00000X
171M00000X
172V00000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-01-07
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