Individual
JUDY KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
27076 CYPRESS ST, HIGHLAND, CA 92346-3662
(909) 647-3828
Mailing address
1310 CORAL TREE RD, COLTON, CA 92324-8484
(909) 679-8420
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/22/2017
Last updated
09/26/2020
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