Individual
YEON JEONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3150 W ROLLING HILLS CIR, DAVIE, FL 33328-1950
(954) 579-6779
Mailing address
3150 W ROLLING HILLS CIR APT 305, DAVIE, FL 33328-1932
(954) 579-6779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
95250876
CA
163W00000X
Registered Nurse
Primary
9591915
FL
Other
Enumeration date
03/08/2023
Last updated
03/08/2023
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