Individual
ELISA O KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
21401 PACIFIC HWY S, DES MOINES, WA 98198-6074
(206) 824-4784
(206) 878-3208
Mailing address
21401 PACIFIC HWY S, DES MOINES, WA 98198-6074
(206) 824-4784
(206) 878-3208
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
00064091
WA
Other
Enumeration date
11/01/2010
Last updated
11/01/2010
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