Individual
SHAWNEE SONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Mailing address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1000
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
RN2281008
MA
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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