BURTON COSTELLO

CORDOVA, TN
NPI1538550173
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163W00000X Registered Nurse
(Licence: TN  RN0000197404)
Enumeration Date2015-02-17
Last Update Date2015-02-17
Business Address
-- BURTON COSTELLO RN
8107 KERRY DR
CORDOVA, TN 38018-8127
Phone number: 901-299-3277
Mailing Address
-- BURTON COSTELLO RN
8107 KERRY DR
CORDOVA, TN 38018-8127
Phone number: