Individual
DONNA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
3730 SOUNDVIEW DR W, UNIVERSITY PLACE, WA 98466-1430
(253) 906-3667
Mailing address
3730 SOUNDVIEW DR W, UNIVERSITY PLACE, WA 98466-1430
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1073556
WA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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