Individual
DYLAN KORDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2747 TAYLOR AVE, FORT EUSTIS, VA 23604-5213
(757) 878-5922
Mailing address
2747 TAYLOR AVE, FORT EUSTIS, VA 23604-5213
(757) 878-5922
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
06/04/2022
Last updated
06/04/2022
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