MICHAEL A COSTINE

ENCINO, CA
NPI1851940571
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-09-05
Last Update Date2023-10-27
Business Address
MICHAEL A COSTINE
5363 BALBOA BLVD STE 445
ENCINO, CA 91316-2844
Phone number: 818-946-8424
Mailing Address
MICHAEL A COSTINE
7556 HAMPTON AVE APT 305
WEST HOLLYWOOD, CA 90046-5544
Phone number: 617-721-3437
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