Individual
KENNETH XAVIER ROMAN HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3990 JOHN R ST, DETROIT, MI 48201-2018
(313) 745-7233
Mailing address
URB REGIONAL B9 CALLE 1, ARECIBO, PR 00612-3429
(787) 362-0521
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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