Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINDY COSTELLO
Active Sole ProprietorMINDY COSTELLO is a 2278G1100X healthcare provider located in MODESTO, California. NPI 1053877597 is currently active in the NPPES registry. Verify at CMS.
2278G1100X · MODESTO, CA
Registration Details
- NPI Number
- 1053877597
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 20, 2019 (7.5154698013831 yrs)
- Last Updated
- Feb 20, 2019
- License
-
29664 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4601 DALE RDMODESTO, CA, 953569718Browse CA providers · Browse ZIP 95356
- Phone
- 2097357591
- Primary Specialty
-
2278G1100X
2278G1100X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.