Individual
JESSICA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, CD
Contact information
Practice address
3912 10TH ST SE STE 101, PUYALLUP, WA 98374-2188
(253) 848-4700
(253) 848-2284
Mailing address
PO BOX 2170, SUMNER, WA 98390-0480
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60453724
WA
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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