Individual
EVELYN LANA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4500 WISCONSIN AVE NW, WASHINGTON, DC 20016-4628
(202) 244-1206
Mailing address
4500 WISCONSIN AVE NW, WASHINGTON, DC 20016-4628
(202) 244-1206
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0202210579
VA
183500000X
Pharmacist
Primary
21001
MD
Other
Enumeration date
10/09/2018
Last updated
11/17/2020
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