Individual
SUE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2331 MONTPELIER DR STE 20, SAN JOSE, CA 95116-1688
(847) 942-8586
Mailing address
8516 MARMORA AVE, MORTON GROVE, IL 60053-3309
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
209028584
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
95027678
CA
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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