Jiunn Song
Student in an Organized Health Care Education/Training Program in Boston, MA. Individual provider (NPI-1).
NPI number1760123947
StatusActive
Last updated in NPPESApr 5, 2022
Details
- NPI
- 1760123947
- Entity type
- Individual (NPI-1)
- Name
- Jiunn Song
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 5, 2022
- Certification date
- Mar 28, 2022
- Last updated
- Apr 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
55 Fruit StBoston, MA 02114-2621
Phone 617-726-5820
Mailing address
55 Fruit StBoston, MA 02114-2621
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