Individual
BO-YOUNG KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10927 VISTA MARBELLA AVE, LAS VEGAS, NV 89144-4520
(301) 442-2798
Mailing address
10927 VISTA MARBELLA AVE, LAS VEGAS, NV 89144-4520
(301) 442-2798
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487056909
—
NV
Enumeration date
02/19/2019
Last updated
02/19/2019
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