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Vivian Costa

NPI 1043361553 · on the registry since 2007

Practice

Address
627 Deer Acres Dr
Goldsboro, NC 27530
Phone
(919) 734-6649
Fax
(919) 734-6649
Organisation at this address
Brenda A. Taylor
Crystal Spring Laundry & Cleaners Inc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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 North Carolina