Individual
JESSICA KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
28 CENTRE DRIVE, MAILSTOP 416SA1, MILTON, VT 05468
(802) 847-2700
Mailing address
28 CENTRE DRIVE, MAILSTOP 416SA1, MILTON, VT 05468
(802) 847-2700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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