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Individual

DAE YEON KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP-C

Contact information

Practice address
1998 N ARROWHEAD AVE, SAN BERNARDINO, CA 92405-4116
(909) 882-0988
(909) 660-8515
Mailing address
1998 N ARROWHEAD AVE, SAN BERNARDINO, CA 92405-4116
(909) 882-0988
(909) 660-8515

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95032711
CA

Other

Enumeration date
04/19/2025
Last updated
04/19/2025
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