Dylan Wade Street

NPI #1013471424 in Metropolis, Illinois

Provider Information

NPI Number
1013471424
Entity Type
Individual
Name
Dylan Wade Street
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jan 30, 2019
Last Updated
Jan 30, 2019

Practice Location

Address
206 W 5TH ST
ZIP Code
62960-1810
Phone
(618) 524-9368

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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