NPI 1033633532

Songah Chae

Practitioner Student in an Organized Health Care Education/Training Program Moscow, ID

Practice location

Address: 875 Perimeter Drive Ms 3080, Moscow, ID 83844-3080
Phone: (208) 885-1673
Fax: (208) 885-5929
Mailing address: 1443 Northwood Drive. #60, Moscow, ID 83843

Registered specialties

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Idaho →

Registry record

NPI: 1033633532
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jul 2017
Record last updated: 27 Jul 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.