Crystal Jean Nicole Costa, | |
4732 Dundee St, Antioch, CA 94531-9449 | |
(925) 421-8429 | |
Not Available |
Full Name | Crystal Jean Nicole Costa |
---|---|
Gender | Female |
Speciality | Registered Nurse - Psychiatric/mental Health, Adult |
Location | 4732 Dundee St, Antioch, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245609395 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WP0809X | Registered Nurse - Psychiatric/mental Health, Adult | 95029245 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
Crystal Jean Nicole Costa, 4732 Dundee St, Antioch, CA 94531-9449 Ph: (925) 421-8429 | Crystal Jean Nicole Costa, 4732 Dundee St, Antioch, CA 94531-9449 Ph: (925) 421-8429 |
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