Individual
BETTY BOYOON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13424 WALNUTWOOD LANE, GERMANTOWN, MD 20874
(301) 335-9062
Mailing address
13424 WALNUTWOOD LN, GERMANTOWN, MD 20874-1025
(301) 335-9062
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
IN0006476
WV
390200000X
Student in an Organized Health Care Education/Training Program
ST11453
MD
Other
Enumeration date
04/24/2013
Last updated
04/24/2013
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