Individual
DUK JA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AC
Contact information
Practice address
634 S GLENN ALAN AVE, WEST COVINA, CA 91791-2705
(213) 700-2454
Mailing address
634 S GLENN ALAN AVE, WEST COVINA, CA 91791
(213) 700-2454
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC6340
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC6340
LINCENSE
CA
Enumeration date
11/22/2006
Last updated
07/08/2007
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