JAMES MICHAEL COSTELLO

PROVIDENCE, RI
NPI1851711717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: RI  34274)
Enumeration Date2014-04-18
Last Update Date2014-04-18
Business Address
-- JAMES MICHAEL COSTELLO RN
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number: 401-273-7100
Mailing Address
-- JAMES MICHAEL COSTELLO RN
830 CHALKSTONE AVE
PROVIDENCE, RI 02908-4734
Phone number:
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