Individual
AGNES (YANG EUN) PYONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1021 ARNOLD DR, LOCATED INSIDE WAL-MART, MARTINEZ, CA 94553-4103
(925) 957-9378
(925) 957-9417
Mailing address
6084 RALSTON AVE, RICHMOND, CA 94805-1202
(510) 215-2329
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12313T
CA
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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