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Individual

JOSHUAH SUNGGON KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
1933 W MAIN ST STE 1, MESA, AZ 85201-6930
(480) 730-4991
(480) 946-3366
Mailing address
1933 W MAIN ST STE 1, MESA, AZ 85201-6930
(480) 730-4991
(480) 946-3366

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0283
AZ
171100000X
Acupuncturist
283
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AZ0283
ACUPUNCTURE
AZ
Enumeration date
12/26/2006
Last updated
06/16/2022
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