Jae Seon Song, L.AC

NPI #1699848788 in Brea, California

Provider Information

NPI Number: 1699848788
Entity Type: Individual
Name: Jae Seon Song, L.AC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC
Enumeration Date: Nov 16, 2006
Last Updated: Aug 16, 2011

Practice Location

Address: 274 VIKING AVE
City: Brea
State: California
ZIP Code: 92821-3821
Phone: (714) 671-5994

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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