Individual
DR. YADIEL NIEVES HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4200 BISHOP LN, LOUISVILLE, KY 40218-4558
(502) 956-3965
Mailing address
3900 YORKTOWNE BLVD, PORT ORANGE, FL 32129-6008
(787) 234-3973
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
289904
KY
Other
Enumeration date
01/30/2024
Last updated
01/30/2024
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