Individual
JI YEON KWON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9300 VALLEY CHILDRENS PL # GE07, MADERA, CA 93636
(559) 353-6277
(559) 353-7195
Mailing address
9300 VALLEY CHILDRENS PL # GE07, MADERA, CA 93636-8762
(559) 353-6277
(559) 353-7195
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
821931
CA
363L00000X
Nurse Practitioner
Primary
95009482
CA
Other
Enumeration date
06/28/2018
Last updated
07/30/2018
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