Individual
MIYONG KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-5108
(253) 968-1110
Mailing address
3663 W 4TH ST UNIT 10, LOS ANGELES, CA 90020-2335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95010459
CA
Other
Enumeration date
03/26/2019
Last updated
03/17/2022
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