Kim, Jisu

Kim, Jisu is an individual health care provider with primary practice located at 1055 Fremont Blvd , Seaside CA 93955-5712. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kim, Jisu can be contacted via phone (831) 393-9231.

Contact Information

Primary practice address
1055 Fremont Blvd Seaside CA 93955-5712
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PH238383 Massachusetts
Pharmacy Service Providers / Pharmacist 183500000X RPH81253 California

Profile Details

NPI number 1639717085
LBN Legal business name Kim, Jisu
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2019
Last updated Feb 24th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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