Individual
DR. GLORIA JISUN KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1510 NORTHERN NECK DR, 102, VIENNA, VA 22182
(703) 795-3804
Mailing address
1510 NORTHERN NECK DR, 102, VIENNA, VA 22182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202213754
VA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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