Caryn Lee Jackson-Costello
NPI #1023580545 in Madeira Beach, Florida
Provider Information
- NPI Number
- 1023580545
- Entity Type
- Individual
- Name
- Caryn Lee Jackson-Costello
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Dec 21, 2018
- Last Updated
- Dec 21, 2018
Practice Location
- Address
- 229H MEDALLION BOULEVARD
- City
- Madeira Beach
- State
- Florida
- ZIP Code
- 33708
- Phone
- (727) 412-0569
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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