| NPI | 1497468862 |
|---|---|
| Other Name | JAMIE COSTELLO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 170300000X Genetic Counselor, MS |
| Additional Taxonomies | 171400000X Health & Wellness Coach |
| Enumeration Date | 2023-01-02 |
| Last Update Date | 2024-11-16 |