Individual
KIM VONK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5905 SEVERIN DR., LA MESA, CA 91942-3806
(619) 589-2606
Mailing address
5810 AMAYA DR APT 17D, LA MESA, CA 91942-4140
(619) 339-7368
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
01/06/2021
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