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Susan Eunsoo Koh
Student in an Organized Health Care Education/Training Program in Alpine, California
NPI 1730721697

Susan Eunsoo Koh is a Student in an Organized Health Care Education/Training Program based in Alpine, CA. Susan Eunsoo Koh practices in Alpine, CA. The NPI Number for Susan Eunsoo Koh is 1730721697 and holds a License No. (California).

The current practice location address for Susan Eunsoo Koh is 2120 Alpine Blvd, Alpine, CA and can be reached out via phone at 619-659-3188.

Location: 2120 Alpine Blvd, Alpine, CA, 91901-2113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730721697
Provider Name
Susan Eunsoo Koh
Credential
Provider Entity Type
Individual
Gender
Female
Address
2120 Alpine Blvd, Alpine, CA, 91901-2113
Phone Number
619-659-3188
Fax Number
Provider Enumeration Date
10/11/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2120 Alpine Blvd
City
Alpine
State
California
Zip
91901-2113
Phone Number
619-659-3188
Fax Number
person
Provider Business Mailing Address Details
Address
2120 Alpine Blvd
City
Alpine
State
California
Zip
91901-2113
Phone Number
619-659-3188
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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