JU YEON KIM

FAYETTEVILLE, NY
NPI1710764550
Former NameJU YEON KIM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: NY  351939)
Enumeration Date2023-09-14
Last Update Date2024-05-16
Business Address
JU YEON KIM
4000 MEDICAL CENTER SUITE 212
FAYETTEVILLE, NY 13066
Phone number: 315-744-1570
Mailing Address
JU YEON KIM
4000 MEDICAL CENTER DR SUITE 212
FAYETTEVILLE, NY 13066
Phone number: 315-744-1570
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