Individual
JEONGAH KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4280 MARTIN WAY E, OLYMPIA, WA 98516-5354
(360) 456-0709
Mailing address
8533 LITT DR SE APT 205, LACEY, WA 98516-4630
(402) 890-5675
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH61476755
WA
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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