DR. MARTHA B. KIM, M.D.
Medical Practice at Sierra Park Rd, Crowley Lake, CA

License number
California MD24081
Category
Medical Practice
Type
Obstetrics & Gynecology
Address
Address
85 Sierra Park Rd, Crowley Lake, CA 93546
Phone
(760) 924-4011
(760) 924-4104 (Fax)
National Provider ID: 1578539409
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about MARTHA B. KIM at bizstanding.com

Martha B. Kim MD, Inc

Portland, OR  -  Crowley Lake, CA

Registration:
Apr 27, 2012
Addresses:
PO Box 96174, Portland, OR 97296
PO Box 3267, Crowley Lake, CA 93546
State ID:
03478362
Business type:
Articles of Incorporation
President:
Martha B. Kim (President)
Agent:
Stephen A. Mellor

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