Individual
SUNAH SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
26001 REDLANDS BLVD # 117, REDLANDS, CA 92373
(909) 894-7677
Mailing address
26001 REDLANDS BLVD # 117, REDLANDS, CA 92373-7762
(909) 894-7677
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
NP 20746
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP 20746
CALIFORNIA BOARD OF NURSING
CA
01
—
RN 635805
CALIFORNIA BOARD OF NURSING
CA
Enumeration date
11/04/2008
Last updated
05/23/2018
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