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Individual

JOHNATHAN YOON-YOUNG KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LVN

Contact information

Practice address
1351 WEEBURN RD APT 74E, SEAL BEACH, CA 90740-3940
(714) 232-9185
Mailing address
1351 WEEBURN RD APT 74E, SEAL BEACH, CA 90740-3940
(714) 232-9185

Taxonomy

Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN241963
CA

Other

Enumeration date
08/03/2012
Last updated
08/03/2012
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