Individual
DYLAN STEVEN BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
(619) 398-2168
Mailing address
995 GATEWAY CENTER WAY STE 300, SAN DIEGO, CA 92102-4550
(619) 398-2156
(619) 398-2168
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
10/12/2023
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