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Individual

NATALIE SONG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5838 EDISON PL STE 100, CARLSBAD, CA 92008-5520
(240) 543-2565
Mailing address
5550 GROSVENOR BLVD APT 436, LOS ANGELES, CA 90066-7321

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
714626
NY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95011618
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
F402380-1
NY

Other

Enumeration date
07/17/2017
Last updated
08/19/2019
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