Individual
MRS. KATIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14532 CENTRAL AVE, CHINO, CA 91710-9503
(909) 627-6225
(909) 627-7477
Mailing address
14532 CENTRAL AVE, CHINO, CA 91710-9503
(909) 627-6225
(909) 627-7477
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
95252398
CA
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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