person
Diana Ji-hae Song, DO
Student in an Organized Health Care Education/Training Program in Shreveport, Louisiana
NPI 1225590292

Diana Ji-hae Song is a Student in an Organized Health Care Education/Training Program based in Shreveport, LA. Diana Ji-hae Song practices in Shreveport, LA and has the professional credentials of DO. The NPI Number for Diana Ji-hae Song is 1225590292 and holds a License No. (Louisiana).

The current practice location address for Diana Ji-hae Song is 1501 Kings Highway, Shreveport, LA and can be reached out via phone at 318-626-0434.

Location: 1501 Kings Highway, Shreveport, LA, 71130-3932
person
Provider Profile Details
NPI Number
1225590292
Provider Name
Diana Ji-hae Song
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
1501 Kings Highway, Shreveport, LA, 71130-3932
Phone Number
318-626-0434
Fax Number
Provider Enumeration Date
04/01/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Kings Highway
City
State
Zip
71130-3932
Phone Number
318-626-0434
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Kings Highway
City
State
Zip
71130-3932
Phone Number
318-626-0434
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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