Individual
ELAINE LEE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
928 CALLE SIMPATICO, GLENDALE, CA 91208-3031
(213) 820-5758
Mailing address
928 CALLE SIMPATICO, GLENDALE, CA 91208-3031
(213) 820-5758
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1109041
CA
Other
Enumeration date
08/09/2013
Last updated
08/09/2013
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