Individual
TYLER DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
130 NEW LONDON RD, NEWARK, DE 19711-7037
(203) 505-4050
Mailing address
541 SOUTH COLLEGE AVENUE, NEWARK, DE 19716
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2020
Last updated
02/17/2020
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