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Catherine Song

Student in an Organized Health Care Education/Training Program in San Carlos, CA. Individual provider (NPI-1).

NPI number1124906367
StatusActive
Last updated in NPPESAug 25, 2025

Details

NPI
1124906367
Entity type
Individual (NPI-1)
Name
Catherine Song
Sex
Female
Sole proprietor
No
Enumeration date
Aug 25, 2025
Certification date
Aug 25, 2025
Last updated
Aug 25, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone 408-647-4982

Mailing address

1303 San Carlos Ave
San Carlos, CA 94070-2317

Phone 408-647-4982

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