Individual
YOUNTAE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
780 NICKLAUS DR SE, RIO RANCHO, NM 87124-3432
(419) 231-0998
Mailing address
780 NICKLAUS DR SE, RIO RANCHO, NM 87124-3432
(419) 231-0998
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
03439979
OH
183500000X
Pharmacist
RP00009333
NM
Other
Enumeration date
08/22/2020
Last updated
08/22/2020
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