Individual
MRS. HAESOOK KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2123 YGNACIO VALLEY RD STE K200, WALNUT CREEK, CA 94598-3336
(925) 926-0195
(925) 926-0194
Mailing address
2123 YGNACIO VALLEY RD STE K200, WALNUT CREEK, CA 94598-3336
(925) 926-0195
(925) 926-0194
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95004733
CA
Other
Enumeration date
08/23/2017
Last updated
07/21/2022
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