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DR. JI YONG KIM L.AC.

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1578641023

Individual Registrant:
DR. JI YONG KIM L.AC.
Gender: M
Sole Proprietor

Location and contact information for practice:
225 BROAD AVE  PALISADES PARK, NJ 07650-1588 US
Tel: 201-363-0233  Fax: 201-363-0244

Contact information for business:
225 BROAD AVE  PALISADES PARK, NJ 07650-1588 US
Tel: 201-363-0233  Fax: 201-363-0244

Registration Information:
NPI: 1578641023
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
NJ25MZ00045000

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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