JONATHAN KIM

FAIRFAX, VA
NPI1073698650
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: VA  0618001053)
Enumeration Date2006-10-25
Last Update Date2007-07-08
Business Address
-- JONATHAN KIM OD
11903-I LEE JACKSON MEMORIAL HWY. #G133
FAIRFAX, VA 22033
Phone number: 703-218-8036
Mailing Address
-- JONATHAN KIM OD
11103 WEST AVE SUITE 6
SAN ANTONIO, TX 78213-1370
Phone number: 210-524-6509