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1417670290
JANNIE RENE KIM
ROCKVILLE, MD
NPI
1417670290
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Former Name
JANNIE RENE SURATOS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: MD R255370)
Enumeration Date
2022-09-26
Last Update Date
2022-10-27
Business Address
JANNIE RENE KIM APRN
7955 TUCKERMAN LN
ROCKVILLE, MD 20854-3243
Phone number: 866-389-2727
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Mailing Address
JANNIE RENE KIM APRN
7955 TUCKERMAN LN
ROCKVILLE, MD 20854-3243
Phone number: 478-335-6759
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