ROBERT TY COSTA

CERES, CA
NPI1639514102
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  D6566716)
Enumeration Date2013-05-09
Last Update Date2019-03-12
Business Address
ROBERT TY COSTA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
Mailing Address
ROBERT TY COSTA
1904 RICHLAND AVE
CERES, CA 95307-4562
Phone number: 209-541-2121
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