Individual
MR. DARREL DYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, OTC
Contact information
Practice address
4520 EXECUTIVE DR, STE. PLZ. 1, SAN DIEGO, CA 92121-3018
(844) 377-7678
Mailing address
4520 EXECUTIVE DR, STE. PLZ. 1, SAN DIEGO, CA 92121-3018
(844) 377-7678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000006936
CA
Other
Enumeration date
10/29/2015
Last updated
11/17/2015
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