Provider Demographics
NPI:1427887405
Name:ALAS, DANA ALEXANDRIA
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:ALEXANDRIA
Last Name:ALAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 VAUGHAN AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02121-3523
Mailing Address - Country:US
Mailing Address - Phone:585-491-1741
Mailing Address - Fax:
Practice Address - Street 1:40 VAUGHAN AVE
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02121-3523
Practice Address - Country:US
Practice Address - Phone:585-491-1741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty