Individual
MRS. GILDA VIVIANA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
23011 CUERVO DR, VALENCIA, CA 91354-2219
(661) 644-5719
(661) 513-0901
Mailing address
23011 CUERVO DR, VALENCIA, CA 91354-2219
(661) 644-5719
(661) 513-0901
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9923
CA
Other
Enumeration date
07/03/2012
Last updated
07/10/2012
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