Individual
DYLAN ANDREW YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
975 S FAIRMONT AVE, LODI, CA 95240-5118
(530) 613-9607
Mailing address
2172 GERBER AVE, SACRAMENTO, CA 95817-1323
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
64608
CA
Other
Enumeration date
03/26/2022
Last updated
09/26/2024
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