Individual
JOHNNY YIM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3950 FISHCREEK RD APT 107, STOW, OH 44224-4469
(207) 333-9344
Mailing address
3950 FISHCREEK RD APT 107, STOW, OH 44224-4469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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