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Individual

JAEYEAL KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
576 BERGEN BLVD STE D, RIDGEFIELD, NJ 07657-2042
(551) 451-9360
Mailing address
576 BERGEN BLVD STE D, RIDGEFIELD, NJ 07657-2042

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
25MZ00168800
NJ

Other

Enumeration date
03/20/2024
Last updated
03/20/2024
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