Individual
JESSICA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
425 LEWANDOWSKI ST, LYNDHURST, NJ 07071-2540
(201) 438-7835
Mailing address
800 12TH ST APT 601, PALISADES PARK, NJ 07650-2372
(908) 635-8862
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26RI03615800
NJ
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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