Individual
GRACE KIM SOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
355 LENNON LN STE 255, WALNUT CREEK, CA 94598-2496
(925) 932-7704
Mailing address
355 LENNON LN STE 255, WALNUT CREEK, CA 94598-2496
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A144607
CA
Other
Enumeration date
04/20/2015
Last updated
08/27/2020
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