Kathleen Costello, L.AC

NPI #1518524891 in Winter Haven, Florida

Provider Information

NPI Number: 1518524891
Entity Type: Individual
Name: Kathleen Costello, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: May 22, 2019
Last Updated: May 22, 2019

Practice Location

Address: 301 3RD ST NW
City: Winter Haven
State: Florida
ZIP Code: 33881-4094
Phone: (718) 344-5709

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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