Individual
DYLAN M GHERLONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
168 COLLEGE AVE, ORONO, ME 04473-1513
(207) 581-1865
Mailing address
1 BLACK BEAR LN # 1814, ORONO, ME 04473-5649
(203) 584-2478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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