Ji Yeong Gendron Song
NPI #1033788898 in Walnut Creek, California
Provider Information
- NPI Number
- 1033788898
- Entity Type
- Individual
- Name
- Ji Yeong Gendron Song
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 24, 2021
- Last Updated
- Jun 26, 2023
Practice Location
- Address
- 738 BANCROFT ROAD
- City
- Walnut Creek
- State
- California
- ZIP Code
- 94598-1250
- Phone
- (925) 938-8525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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