Individual
SON KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1250 SINSKEY DR, MARRERO, LA 70072-5997
(504) 939-9635
Mailing address
1250 SINSKEY DR, MARRERO, LA 70072-5997
(504) 939-9635
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
008058400
LA
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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