Individual
DARA D'AGOSTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 SUMMER ST STE 202, TAUNTON, MA 02780-3469
(508) 207-8819
Mailing address
35 SUMMER ST, TAUNTON, MA 02780-3469
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093787095
JRI
—
Enumeration date
09/19/2018
Last updated
09/19/2018
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