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Individual

MRS. CHUSUK SONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.N.

Contact information

Practice address
320 E 32ND ST, UNIT 205, TACOMA, WA 98404-1609
(253) 223-1661
(253) 507-4015
Mailing address
320 E 32ND ST, UNIT 205, TACOMA, WA 98404-1609
(253) 223-1661
(253) 507-4015

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00150305
WA

Other

Enumeration date
11/06/2012
Last updated
11/06/2012
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