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Chris Costanza, BS
Student in an Organized Health Care Education/Training Program in Upland, California
NPI 1366065419

Chris Costanza is a Student in an Organized Health Care Education/Training Program based in Upland, CA. Chris Costanza practices in Upland, CA and has the professional credentials of BS. The NPI Number for Chris Costanza is 1366065419 and holds a License No. (California).

The current practice location address for Chris Costanza is 1553 W 7Th St Apt 102, Upland, CA and can be reached out via phone at 504-913-3918.

Location: 1553 W 7Th St Apt 102, Upland, CA, 91786-6945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366065419
Provider Name
Chris Costanza
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
1553 W 7Th St Apt 102, Upland, CA, 91786-6945
Phone Number
504-913-3918
Fax Number
Provider Enumeration Date
05/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1553 W 7Th St Apt 102
City
Upland
State
California
Zip
91786-6945
Phone Number
504-913-3918
Fax Number
person
Provider Business Mailing Address Details
Address
1553 W 7Th St Apt 102
City
Upland
State
California
Zip
91786-6945
Phone Number
504-913-3918
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
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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