Search › Maine › 235Z00000X
Johanna Costello
NPI 1700180361 · on the registry since 2010
Practice
- Address
- 197 Pine St
Apt 24
Portland, ME 04102 - Phone
- (516) 319-3889
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-12-22
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 Maine