BLOSSOM KIM

ELK GROVE, CA
NPI1871137976
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  59082)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-10-31
Last Update Date2021-03-01
Business Address
BLOSSOM KIM
9108 TRUMBAUER WAY
ELK GROVE, CA 95758-7434
Phone number: 916-207-4257
Mailing Address
BLOSSOM KIM
9108 TRUMBAUER WAY
ELK GROVE, CA 95758-7434
Phone number: 916-207-4257