Individual
SONGAH CHAE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
875 PERIMETER DRIVE, MS 3080, MOSCOW, ID 83844-3080
(208) 885-1673
(208) 885-5929
Mailing address
1443 NORTHWOOD DRIVE. #60, MOSCOW, ID 83843
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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