Individual
JESSICA LEE KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
12774 JOLETTE AVE, GRANADA HILLS, CA 91344-1431
(818) 319-0808
Mailing address
12774 JOLETTE AVE, GRANADA HILLS, CA 91344-1431
(818) 319-0808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/09/2012
Last updated
03/09/2012
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