Qi-Wen Song
Acupuncturist in San Jose, CA. Individual provider (NPI-1).
NPI number1245309681
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1245309681
- Entity type
- Individual (NPI-1)
- Name
- Qi-Wen Song
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC 10552 | CA | Yes |
Practice location
2445 Forest AveSan Jose, CA 95128-1523
Phone 408-218-2521
Mailing address
2445 Forest AveSan Jose, CA 95128-1523
Phone 408-218-2521
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