Jenna Kim

NPI #1548713043 in Chantilly, Virginia

Provider Information

NPI Number: 1548713043
Entity Type: Individual
Name: Jenna Kim
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Aug 1, 2016
Last Updated: Aug 1, 2016

Practice Location

Address: 25421 EASTERN MARKETPLACE PLZ
City: Chantilly
State: Virginia
ZIP Code: 20152-5780
Phone: (703) 327-7817

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pharmacist	183500000X	Primary

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