Individual
KAYLA HYNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
465 E 114TH ST, CLEVELAND, OH 44108-1464
(216) 825-3330
Mailing address
465 E 114TH ST, CLEVELAND, OH 44108-1464
(216) 825-3330
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
402121791118
OH
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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