Individual
MR. DYLAN TYLER NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
453 FERNDALE DR, TYRONE, PA 16686-6709
(814) 215-9836
Mailing address
453 FERNDALE DR, TYRONE, PA 16686-6709
(816) 215-9836
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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