MYUNG AE SONG

BOISE, ID
NPI1922130541
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy208D00000X General Practice
(Licence: ID  O-322)
Enumeration Date2007-03-09
Last Update Date2023-03-07
Business Address
-- MYUNG AE SONG D.O. , M.B.A.
8950 W EMERALD ST STE 168
BOISE, ID 83704-8296
Phone number: 208-901-5144
Mailing Address
-- MYUNG AE SONG D.O. , M.B.A.
12706 DEER RIDGE TRL
NAMPA, ID 83686-7806
Phone number: 208-901-5144
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