Individual
JONG CHAN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2051 S DOBSON RD STE 8, MESA, AZ 85202-6433
(480) 314-0701
Mailing address
2051 S DOBSON RD STE 8, MESA, AZ 85202-6433
(480) 314-0701
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
0308
AZ
Other
Enumeration date
05/21/2018
Last updated
07/12/2021
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