Individual
KYRA FAITH GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
142 LONG BOW DR, MADISON, AL 35758-7892
(256) 975-5902
Mailing address
142 LONG BOW DR, MADISON, AL 35758-7892
(256) 975-5902
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86156632
AL
Other
Enumeration date
11/26/2020
Last updated
11/26/2020
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