Individual
MISS SOPHIE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
220 FREDERICK ROAD, HAVERTOWN, PA 19083-1014
(610) 853-4623
Mailing address
220 FREDERICK ROAD, HAVERTOWN, PA 19083-1014
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN214816L
PA
Other
Enumeration date
01/05/2009
Last updated
01/05/2009
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