Individual
MS. ASHLEY ANN KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86086344
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86086344
COMMISSION ON DIETETIC REGISTRATION
CA
Enumeration date
08/11/2021
Last updated
01/27/2022
Update your record
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