Individual
MS. YOUNG SOON KEUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1001 PYRAMID WAY STE 206, SPARKS, NV 89431-4470
(775) 710-8380
(949) 543-2069
Mailing address
PO BOX 16793, SOUTH LAKE TAHOE, CA 96151-6793
(530) 545-8782
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
832549
NV
Other
Enumeration date
12/27/2019
Last updated
10/03/2022
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