Organization
S & SONG INC
Active
Other names
Soonok K Song
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOONOK KONG SONG CNS-PMM (PRESIDENT)
(410) 829-5148
Entity
Organization
Contact information
Practice address
4616 MORNING RIDE CT, ELLICOTT CITY, MD 21042
(410) 829-5148
(410) 462-3517
Mailing address
4616 MORNING RIDE CT, ELLICOTT CITY, MD 21042
(410) 461-4425
(410) 462-3517
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
R057717
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54664301
BCBS
MD
Enumeration date
07/13/2006
Last updated
08/22/2020
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