Individual
ELLISON KYO-JIN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1099
(617) 665-1000
Mailing address
8 EUSTON ST APT 3, BROOKLINE, MA 02446-4034
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH241702
MA
Other
Enumeration date
08/17/2023
Last updated
08/17/2023
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