Individual
JANICE DACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
764 ROCKDALE AVE, NEW BEDFORD, MA 02740-1561
(508) 985-3985
Mailing address
764 ROCKDALE AVE, NEW BEDFORD, MA 02740-1561
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN87642
MA
Other
Enumeration date
08/26/2015
Last updated
08/26/2015
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