Individual
SARA BOGEUM KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11886 HEALING WAY # 701, SILVER SPRING, MD 20904-7917
(301) 933-3216
Mailing address
8057 BRIGHTWOOD CT, ELLICOTT CITY, MD 21043-7935
(301) 661-8222
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R237410
MD
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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