Individual
ANNA M KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4410 SLAUSON AVE, MAYWOOD, CA 90270-2932
(323) 771-9422
Mailing address
1769 AVENIDA SELVA, FULLERTON, CA 92833-1562
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH55478
CA
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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