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Individual

MELISSA SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
406 E VISTA LAKE AVE, POLK CITY, IA 50226-3401
(515) 779-3462
Mailing address
406 E VISTA LAKE AVE, POLK CITY, IA 50226-3401
(515) 779-3462

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
118713
IA

Other

Enumeration date
01/26/2023
Last updated
01/26/2023
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