Individual
DYLAN COLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1827 ATLANTA AVE, RIVERSIDE, CA 92507-7419
(951) 955-8000
Mailing address
1827 ATLANTA AVE, RIVERSIDE, CA 92507-7419
(951) 955-8000
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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