Individual
JAE HEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D
Contact information
Practice address
1202 N 10TH PL APT 1214, RENTON, WA 98057-5635
(425) 919-2886
Mailing address
1202 N 10TH PL APT 1214, RENTON, WA 98057-5635
(425) 919-2886
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH60134703
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PH60134703
REGISTERED PHARMACIST
WA
Enumeration date
03/28/2012
Last updated
03/29/2012
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