Robert Ty Costa
Robert Ty Costa is a Case Manager/Care Coordinator in Ceres, California. Licensed in California. Registered with an NPI since 2013.
- Licensed in
- CA
- In the registry since
- 2013
Practice location Address checks out
1904 Richland AveCeres, CA 95307-4562
Phone: (209) 541-2121
Fax: (209) 541-2083
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X · Licence D6566716 (CA) |
|---|
Record details
| NPI number | 1639514102 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 9, 2013 |
| Last updated in NPPES | March 12, 2019 |
| Mailing address | 1904 Richland Ave, Ceres, CA 95307-4562 |
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