JESSICA SONG

LOS ANGELES, CA
NPI1669245247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95024014)
Enumeration Date2023-11-06
Last Update Date2023-11-06
Business Address
JESSICA SONG
3727 W 6TH ST STE 200
LOS ANGELES, CA 90020-5108
Phone number: 213-235-2500
Mailing Address
JESSICA SONG
1745 HOLLY DR APT 106
GLENDALE, CA 91206-4142
Phone number:
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