Individual
JENNIFER WILEY KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 SULLIVAN AVE, DALY CITY, CA 94015-2200
(650) 991-6763
Mailing address
86 GARDEN ST, SAN FRANCISCO, CA 94115-3422
(415) 531-4778
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
12866
CA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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