GENESIS SONG BANGHA

LEXINGTON, KY
NPI1366858169
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  102393)
Enumeration Date2014-07-01
Last Update Date2015-01-09
Business Address
-- GENESIS SONG BANGHA CRNA
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503-1431
Phone number: 859-260-6100
Mailing Address
-- GENESIS SONG BANGHA CRNA
1740 NICHOLASVILLE RD
LEXINGTON, KY 40503-1431
Phone number: