Individual
MYUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
623 N WOOD AVE # 6B, LINDEN, NJ 07036-4151
(908) 486-0990
Mailing address
942 W VALENCIA MESA DR, FULLERTON, CA 92835-4010
(917) 865-8271
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
95318198
CA
Other
Enumeration date
10/30/2024
Last updated
10/30/2024
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