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Johanna Costello
NPI 1487048666 · on the registry since 2015
Practice
- Address
- 17 Pontiac St Apt 8
Hyannis, MA 02601 - Phone
- (330) 322-5302
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Also registered as
- 225200000X
- Licence states on file
- MA, OH
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2015-03-25
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 Massachusetts