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Individual

JIEUN KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 490-1222
Mailing address
325 DISTEL CIR, LOS ALTOS, CA 94022-1408
(510) 490-1222

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95005505
CA
363LP0200X
Pediatric Nurse Practitioner
F382424
NY

Other

Enumeration date
07/03/2013
Last updated
04/09/2026
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