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Individual
SANDRA YU KIM
Active
Individual
SANDRA YU KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, RN, PHN
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
95107459
CA
163WM0705X
Medical-Surgical Registered Nurse
95107459
CA
363LF0000X
Family Nurse Practitioner
Primary
95018326
CA
Other
Enumeration date
09/29/2017
Last updated
09/08/2021
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