Marc O Costley
NPI #1811547771 in Oakdale, California
Provider Information
- NPI Number
- 1811547771
- Entity Type
- Individual
- Name
- Marc O Costley
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician - Attendant Care Provider
- Enumeration Date
- Sep 12, 2019
- Last Updated
- Sep 12, 2019
Practice Location
- Address
- 2728 OAKHURST DR
- City
- Oakdale
- State
- California
- ZIP Code
- 95361-9233
- Phone
- (209) 840-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Attendant Care Provider — Attendant Care Provider |
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