MARY A COSTELLO
Nursing at 11 Pl, Boca Raton, FL

License number
Florida 9369105
Issued Date
Sep 12, 2013
Effective Date
Oct 8, 2015
Expiration Date
Apr 30, 2019
Category
Health Care
Type
Registered Nurse
Address
Address
501 SW 11Th Pl APT 211 B, Boca Raton, FL 33432
Phone
(704) 252-1579

Organization information

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Mary A Costello Anp PA

1300 N Federal Hwy, Boca Raton, FL 33432

Registration:
Nov 6, 2013
State ID:
P13000090837
Business type:
Domestic for Profit Corporation
Presidents:
Mary A. Costello (President),Mary A. Hosler President, inactive
Agent:
John Costello