KISUP RHIM

BUENA PARK, CA
NPI1336970052
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95027432)
Enumeration Date2024-08-13
Last Update Date2024-08-13
Business Address
KISUP RHIM FNP
5731 BEACH BLVD ROOM 202
BUENA PARK, CA 90621
Phone number: 213-503-7769
Mailing Address
KISUP RHIM FNP
165 REED LAND
LA HABRA, CA 90631
Phone number: 213-503-7769
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