person
Ethan Yichen Song
Student in an Organized Health Care Education/Training Program in Durham, North Carolina
NPI 1013595693

Ethan Yichen Song is a Student in an Organized Health Care Education/Training Program based in Durham, NC. Ethan Yichen Song practices in Durham, NC. The NPI Number for Ethan Yichen Song is 1013595693 and holds a License No. (North Carolina).

The current practice location address for Ethan Yichen Song is 40 Duke Medicine Cir, Durham, NC and can be reached out via phone at 919-681-7139.

Location: 40 Duke Medicine Cir, Durham, NC, 27710-4000
person
Provider Profile Details
NPI Number
1013595693
Provider Name
Ethan Yichen Song
Credential
Provider Entity Type
Individual
Gender
Male
Address
40 Duke Medicine Cir, Durham, NC, 27710-4000
Phone Number
919-681-7139
Fax Number
Provider Enumeration Date
04/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
40 Duke Medicine Cir
City
State
Zip
27710-4000
Phone Number
919-681-7139
Fax Number
person
Provider Business Mailing Address Details
Address
40 Duke Medicine Cir
City
State
Zip
27710-4000
Phone Number
919-681-7139
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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