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MS. SONG CHEN NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1659855005

Individual Registrant:
MS. SONG  CHEN NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
5763 STEVENSON BLVD  NEWARK, CA 94560-5301 US
Tel: 510-401-3725  Fax: --

Contact information for business:
40450 MARCIA ST  FREMONT, CA 94538-2861 US
Tel: 415-690-5598  Fax: --

Registration Information:
NPI: 1659855005
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95009973

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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