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DYLLON TERRELL DINWIDDIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDCC

Contact information

Practice address
1103 N B ST, SACRAMENTO, CA 95811-0326
(916) 378-8266
Mailing address
7240 E SOUTHGATE DR STE G, SACRAMENTO, CA 95823-2627
(916) 399-4293
(916) 391-4247

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
11709
CA

Other

Enumeration date
09/06/2019
Last updated
03/29/2024
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