Individual
DAYANE MOTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
66 SW MAIN ST, DOUGLAS, MA 01516-2503
(508) 816-8052
Mailing address
66 SW MAIN ST, DOUGLAS, MA 01516-2503
(508) 816-8052
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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