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Melissa Song
Administrator Registered Nurse in Polk City, Iowa
NPI 1306552989

Melissa Song is an Administrator Registered Nurse based in Polk City, IA and is specialized in Administrator. Melissa Song practices in Polk City, IA. The NPI Number for Melissa Song is 1306552989 and holds a License No. 118713 (Iowa).

The current practice location address for Melissa Song is 406 E Vista Lake Ave, Polk City, IA and can be reached out via phone at 515-779-3462.

Location: 406 E Vista Lake Ave, Polk City, IA, 50226-3401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306552989
Provider Name
Melissa Song
Credential
Provider Entity Type
Individual
Gender
Female
Address
406 E Vista Lake Ave, Polk City, IA, 50226-3401
Phone Number
515-779-3462
Fax Number
Provider Enumeration Date
01/26/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
406 E Vista Lake Ave
City
Polk City
State
Iowa
Zip
50226-3401
Phone Number
515-779-3462
Fax Number
person
Provider Business Mailing Address Details
Address
406 E Vista Lake Ave
City
Polk City
State
Iowa
Zip
50226-3401
Phone Number
515-779-3462
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Administrator
Taxonomy
163WA2000X
License No.
118713 (Iowa)
Definition
Definition to come...
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