Individual
RACHELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25246 BARTON RD APT 8, LOMA LINDA, CA 92354-3055
(469) 396-8981
Mailing address
25246 BARTON RD APT 8, LOMA LINDA, CA 92354-3055
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
EID19291008
CA
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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