Individual
DR. JIANBO JAMES SONG
Active
Individual
DR. JIANBO JAMES SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Taxonomy
Speciality
Code
Description
License number
State
207SC0300X
Clinical Cytogenetics Physician
Primary
MTO666
CA
207SG0203X
Clinical Molecular Genetics Physician
MTP288
CA
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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