THEODORE TAEHOON KIM

BAY SHORE, NY
NPI1598568982
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2025-03-31
Last Update Date2025-03-31
Business Address
THEODORE TAEHOON KIM
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number: 631-894-5364
Mailing Address
THEODORE TAEHOON KIM
301 E MAIN ST
BAY SHORE, NY 11706-8408
Phone number:
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