Individual
CHUNYAN SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2904 35TH AVE S, FARGO, ND 58104-8837
(701) 290-6966
Mailing address
2904 35TH AVE S, FARGO, ND 58104-8837
(701) 290-6966
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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