| NPI | 1861184681 |
|---|---|
| Professional Name | JAOSN SONG |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95034932) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH SP00762) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61650187) | |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2025-05-10 |