Individual
WENJIA SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 392-3961
Mailing address
22707 SE 29TH ST, SAMMAMISH, WA 98075-9532
(425) 455-2845
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 60009346
WA
363LF0000X
Family Nurse Practitioner
Primary
AP 60406859
WA
Other
Enumeration date
07/25/2014
Last updated
02/04/2021
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