FANETTE KIM

TAMPA, FL
NPI1104132786
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC4519)
Enumeration Date2010-08-20
Last Update Date2015-11-25
Business Address
Dr. FANETTE KIM O.D.
11921 N DALE MABRY HWY
TAMPA, FL 33609
Phone number: 813-963-1008
Mailing Address
Dr. FANETTE KIM O.D.
11921 N DALE MABRY HWY
TAMPA, FL 33609
Phone number: 813-963-1008