Individual
KYLE CHRISTAN HERZBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 324-1490
(775) 324-1541
Mailing address
1672 LONDON CIR, SPARKS, NV 89431-1913
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
10/25/2011
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