Individual
POUA SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1113 E FRANKLIN AVE STE 200, MINNEAPOLIS, MN 55404-2977
(612) 870-0155
Mailing address
1113 E FRANKLIN AVE STE 200, MINNEAPOLIS, MN 55404-2977
(612) 870-0155
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2480597
MN
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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