Individual
OLIVIA ALICIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16030 LA COSTA DR, WESTON, FL 33326-1420
(954) 214-0224
Mailing address
16030 LA COSTA DR, WESTON, FL 33326-1420
(954) 214-0224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/30/2023
Last updated
01/30/2023
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