BENJAMIN COSTELLO

NEWPORT NEWS, VA
NPI1023829785
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126003965)
Enumeration Date2025-01-14
Last Update Date2025-01-14
Business Address
BENJAMIN COSTELLO
3101 WASHINGTON AVE
NEWPORT NEWS, VA 23607-3328
Phone number: 757-812-0662
Mailing Address
BENJAMIN COSTELLO
3000 COLISEUM DR
HAMPTON, VA 23666-5963
Phone number: 757-736-1000