Individual
MS. DANA DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RM
Contact information
Practice address
79 HOLLY RD, TAUNTON, MA 02780-1106
(508) 823-9368
(508) 822-0085
Mailing address
79 HOLLY RD, TAUNTON, MA 02780-1106
(508) 823-9368
(508) 822-0085
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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