Individual
CHRISTY M SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Mailing address
301 VICTORIA ST, COSTA MESA, CA 92627-1995
(949) 642-2734
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95330630
CA
Other
Enumeration date
07/20/2023
Last updated
07/20/2023
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