Individual
MS. JIWON KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3448 ELLICOTT CENTER DR, ELLICOTT CITY, MD 21043-4171
(443) 996-1100
Mailing address
9050 DUMHART RD, LAUREL, MD 20723-1200
(443) 979-0551
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
M05966
MD
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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