Individual
DYLAN RICHARD GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1215 LEE STREET, MAILBOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-4467
Mailing address
1215 LEE STREET, MAILBOX 800394, CHARLOTTESVILLE, VA 22908-0816
(434) 924-5306
(434) 982-4467
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0116040208
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/01/2021
Last updated
06/30/2025
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