Individual
ANN SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2100 CATON WAY SW, OLYMPIA, WA 98502
(360) 866-7406
Mailing address
PO BOX 13181, OLYMPIA, WA 98508-3181
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
RN00121290
WA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
AP60971571
WA
Other
Enumeration date
02/18/2014
Last updated
08/05/2019
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