Individual
JOHNNY JONGSUN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
117 LINCOLN ST, FRAMINGHAM, MA 01702-6358
(508) 383-1104
Mailing address
159 LEON GUERRERO DR, 1001 BLUE PACIFIC LATTICE CONDO, TAMUNING, GU 96913-4459
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
M-1759
GU
Other
Enumeration date
01/14/2006
Last updated
06/22/2016
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