Songah Chae

NPI #1033633532 in Moscow, Idaho

Provider Information

NPI Number: 1033633532
Entity Type: Individual
Name: Songah Chae
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jul 27, 2017
Last Updated: Jul 27, 2017

Practice Location

Address: 875 PERIMETER DRIVE
Address 2: MS 3080
City: Moscow
State: Idaho
ZIP Code: 83844-3080
Phone: (208) 885-1673

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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