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Individual

MISS CAROLINE THERESA KIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
8010 FROST ST, SAN DIEGO, CA 92123-2778
(858) 499-2600
Mailing address
3131 CAUBY ST APT 20, SAN DIEGO, CA 92110-4622
(323) 351-6892

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
95025353
CA

Other

Enumeration date
06/23/2023
Last updated
06/23/2023
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