Individual
PING SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
12317 15TH AVE NE, 103, SEATTLE, WA 98125-4871
(206) 957-1881
Mailing address
12317 15TH AVE NE, 103, SEATTLE, WA 98125-4871
(206) 957-1881
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
AP60528079
WA
Other
Enumeration date
03/14/2015
Last updated
03/14/2015
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