Individual
KYLE GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDN
Contact information
Practice address
16453 BEAR VALLEY RD, HESPERIA, CA 92345-1752
(800) 722-4777
Mailing address
1505 S D ST STE 101, SAN BERNARDINO, CA 92408-3205
(909) 388-5655
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86243005
CA
Other
Enumeration date
06/24/2024
Last updated
06/24/2024
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