Individual
ASHLIE J KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5295 CAMERON DR APT 301, BUENA PARK, CA 90621-1380
(714) 618-5793
Mailing address
5295 CAMERON DR APT 301, BUENA PARK, CA 90621-1380
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95172990
CA
Other
Enumeration date
09/04/2023
Last updated
04/05/2026
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