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Nickaulus Kim
Student in an Organized Health Care Education/Training Program in Fullerton, California
NPI 1821871351

Nickaulus Kim is a Student in an Organized Health Care Education/Training Program based in Fullerton, CA. Nickaulus Kim practices in Fullerton, CA. The NPI Number for Nickaulus Kim is 1821871351 and holds a License No. (California).

The current practice location address for Nickaulus Kim is 3110 Cochise Way Unit 99, Fullerton, CA and can be reached out via phone at 714-502-4042.

Location: 3110 Cochise Way Unit 99, Fullerton, CA, 92833-4922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821871351
Provider Name
Nickaulus Kim
Credential
Provider Entity Type
Individual
Gender
Male
Address
3110 Cochise Way Unit 99, Fullerton, CA, 92833-4922
Phone Number
714-502-4042
Fax Number
Provider Enumeration Date
08/17/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3110 Cochise Way Unit 99
City
Fullerton
State
California
Zip
92833-4922
Phone Number
714-502-4042
Fax Number
person
Provider Business Mailing Address Details
Address
3110 Cochise Way Unit 99
City
Fullerton
State
California
Zip
92833-4922
Phone Number
714-502-4042
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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