Individual
FAYE HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1000 HEALTH CENTER RD, KYLE, SD 57752
(605) 455-2451
Mailing address
1000 HEALTH CENTER RD, PO BOX 540, KYLE, SD 57752
(605) 455-2451
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
R043216
SD
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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