Individual
ANNA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
250 S G ST, SAN BERNARDINO, CA 92410-3320
(909) 771-2990
Mailing address
11140 MESQUITE AVE, LOMA LINDA, CA 92354-6556
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
A66115
CA
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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