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Stacey Kim
NPI 1710333067 · on the registry since 2016 · sole proprietor
Practice
- Address
- 575 Bayview Ave
Millbrae, CA 94030 - Phone
- (415) 307-8631
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-05-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California