Individual provider · Type 1 NPI

Mercedes N. Costello

Student in an Organized Health Care Education/Training Program · Duarte, CA

NPI number 1366859324 Active

Practice location

2502 E. Huntington Dr
Duarte, CA 91010-2221

Call (626) 280-6510 Map

Fax (626) 288-1026

Mailing address

1721 Huntington Dr Apt B
South Pasadena, CA 91030-4833

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1366859324

Mercedes N. Costello's National Provider Identifier is 1366859324, issued on Jul 22, 2014. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Duarte, CA. The record was last updated on Jul 28, 2014.