Individual
JENNIFER KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 SUNRISE AVE, ROSEVILLE, CA 95661-4110
(916) 782-3131
Mailing address
717 24TH ST APT A, SACRAMENTO, CA 95816-4166
(916) 243-8383
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13067
CA
Other
Enumeration date
05/17/2019
Last updated
05/17/2019
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