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Individual
ROY KIM
Active
Individual
ROY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
1106104
CA
133NN1002X
Nutrition Education Nutritionist
1106104
CA
133V00000X
Registered Dietitian
1106104
CA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1106104
CA
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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