Individual
CAROL SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(760) 631-5000
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
(310) 977-6126
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11388
CA
Other
Enumeration date
07/17/2007
Last updated
07/10/2024
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