Individual
MELINDA ELIZABETH SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1911 5TH ST STE 101, SANTA FE, NM 87505-5403
(505) 780-8301
Mailing address
1452 MIRACERROS LOOP S, SANTA FE, NM 87505-4024
(505) 620-5497
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
62328
NM
Other
Enumeration date
06/16/2021
Last updated
06/16/2021
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