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Chris Costello
NPI 1083497127 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1819 Addison St Apt 4
Berkeley, CA 94703 - Phone
- (510) 507-8568
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- NULL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-21
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