Individual
SAMUEL SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 SW HOLDEN ST, SEATTLE, WA 98126-3505
(425) 409-7725
Mailing address
16445 169TH ST SE, MONROE, WA 98272-2903
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/05/2020
Last updated
05/05/2020
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