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Individual

MRS. ANNA ULA KIM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N., PHN

Contact information

Practice address
1725 W 17TH ST, SANTA ANA, CA 92706-2316
(714) 834-7796
Mailing address
PO BOX 6099, SANTA ANA, CA 92706-0099
(714) 834-7796

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
531673
CA
163WC1500X
Community Health Registered Nurse
531673
CA

Other

Enumeration date
11/14/2007
Last updated
11/14/2007
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