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Individual

ANDREA KIM MYUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
14677 MERRILL AVENUE, FONTANA, CA 92335
(951) 643-2340
Mailing address
14901 FROST AVE APT 32, CHINO HILLS, CA 91709-2472
(818) 268-0871

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/10/2019
Last updated
05/04/2019
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Product
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  • Eligibility checks
  • EDI platform