Individual
KYLE R HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NUTRITION COACH
Contact information
Practice address
67 HOLLY HILL LN, GREENWICH, CT 06830-6072
(478) 250-6420
Mailing address
47 RODWELL AVE APT 3, GREENWICH, CT 06830-3237
(478) 250-6420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
03/24/2023
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