Individual
STEPHANIE GIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDHAP
Contact information
Practice address
1423 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94402-3407
(650) 302-1284
Mailing address
1423 ALAMEDA DE LAS PULGAS, SAN MATEO, CA 94402-3407
(650) 302-1284
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
HAP 518
CA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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