Individual
ELNURA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13665 NEWCASTLE CT, FONTANA, CA 92335-0588
(626) 394-9376
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5265
CA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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