Individual
JONNAH SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 DEN RD, EDEN PRAIRIE, MN 55344-4537
(952) 941-9050
Mailing address
13025 DAHLIA CIR APT 314, EDEN PRAIRIE, MN 55344-7637
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
124122
MN
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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