Individual
MR. XINDE SONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-5963
(757) 599-4922
(757) 599-4927
Mailing address
2 BERNARDINE DR, NEWPORT NEWS, VA 23602-4404
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
0110003128
VA
363A00000X
Physician Assistant
Primary
0110003128
VA
Other
Enumeration date
09/15/2009
Last updated
12/29/2016
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