ELIZABETH COSTELLO

COLUMBIA, MO
NPI1831693878
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MO  2008020712)
Enumeration Date2018-03-23
Last Update Date2018-03-23
Business Address
ELIZABETH COSTELLO RD, LD
4603 JOHN GARRY DR STE 10
COLUMBIA, MO 65203-6834
Phone number: 573-777-8783
Mailing Address
ELIZABETH COSTELLO RD, LD
3705 BEDFORD DR
COLUMBIA, MO 65203-5367
Phone number: 573-449-4628