DIANA JI-HAE SONG

SHREVEPORT, LA
NPI1225590292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-01
Last Update Date2019-04-01
Business Address
DIANA JI-HAE SONG DO
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434
Mailing Address
DIANA JI-HAE SONG DO
1501 KINGS HIGHWAY INTERNAL MEDICINE
SHREVEPORT, LA 71130-3932
Phone number: 318-626-0434
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