Individual provider · Type 1 NPI

Jacqulin Coston

Driver · Gretna, VA

NPI number 1902321722 Active

Practice location

90 Lewis Rd
Gretna, VA 24557-2147

Call (856) 217-1931 Map

Specialties and licenses

TaxonomyCodeLicense
Driver Primary 172A00000XNone listed

Driver: A person employed to operate a motor vehicle as a carrier of persons or property.

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About NPI 1902321722

Jacqulin Coston's National Provider Identifier is 1902321722, issued on Aug 14, 2017. The primary taxonomy on file is Driver (172A00000X), and the practice location is in Gretna, VA. The record was last updated on Jul 21, 2022.