Jacqueline Costan
Physician Assistant, Medical in Carlsbad, CA. Individual provider (NPI-1).
NPI number1306529862
StatusActive
Last updated in NPPESAug 10, 2023
Details
- NPI
- 1306529862
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Costan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2023
- Certification date
- Aug 10, 2023
- Last updated
- Aug 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | – | – | Yes |
Practice location
6620 Curlew TerCarlsbad, CA 92011-3964
Phone 760-201-6336
Mailing address
6620 Curlew TerCarlsbad, CA 92011-3964
Phone 760-201-6336
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