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Stanley Sooyoun Kim
Driver in Maricopa, California
NPI 1578065553

Stanley Sooyoun Kim is a Driver based in Maricopa, CA. Stanley Sooyoun Kim practices in Maricopa, CA. The NPI Number for Stanley Sooyoun Kim is 1578065553 and holds a License No. D5481793 (California).

The current practice location address for Stanley Sooyoun Kim is 609 Hazelton St, Maricopa, CA and can be reached out via phone at 661-416-4096.

Location: 609 Hazelton St, Maricopa, CA, 93252
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578065553
Provider Name
Stanley Sooyoun Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
609 Hazelton St, Maricopa, CA, 93252
Phone Number
661-416-4096
Fax Number
Provider Enumeration Date
03/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
609 Hazelton St
City
Maricopa
State
California
Zip
93252
Phone Number
661-416-4096
Fax Number
person
Provider Business Mailing Address Details
Address
609 Hazelton St
City
Maricopa
State
California
Zip
93252
Phone Number
661-416-4096
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
172A00000X
License No.
D5481793 (California)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
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