Individual
GRACE JUNG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3777 PHELAN RD, PHELAN, CA 92371-9074
(760) 868-5618
(760) 868-6688
Mailing address
4834 SMOKE TREE RD, PHELAN, CA 92371-6883
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9027
CA
Other
Enumeration date
02/21/2007
Last updated
09/20/2011
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