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Individual
JI HUN KWAK
Active
Individual
JI HUN KWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95260315
CA
364S00000X
Clinical Nurse Specialist
Primary
5093
CA
364SG0600X
Gerontology Clinical Nurse Specialist
5093
CA
Other
Enumeration date
02/01/2024
Last updated
04/24/2024
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