Individual
SONGCERAE WASHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4000
Mailing address
33100 CLEVELAND CLINIC BLVD, AVON, OH 44011-1390
(440) 695-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-08891
NC
363A00000X
Physician Assistant
Primary
50.005550RX
OH
Other
Enumeration date
12/20/2018
Last updated
05/18/2021
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