Individual
JENNIFER SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26224 N TATUM BLVD STE 5, PHOENIX, AZ 85050-7500
(480) 882-7580
(480) 563-7442
Mailing address
7400 E THOMPSON PEAK PKWY, SCOTTSDALE, AZ 85255-4109
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2023
Last updated
04/02/2024
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