Individual
MRS. KWON SOON YOO KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTIONER
Contact information
Practice address
1840 S. SAN GABRIEL BLVD,, SAN GABRIEL, CA 91776-3930
(626) 571-4590
(626) 307-7369
Mailing address
519 S. TOPSIDE PL., DIAMOND BAR, CA 91765-1879
(626) 571-4590
(626) 307-7369
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP13939
CA
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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