Individual
EUNICE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4164 S MEADOWS RD, SANTA FE, NM 87507-3059
(505) 467-2305
Mailing address
4164 S MEADOWS RD, SANTA FE, NM 87507-3059
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN-80165
NM
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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