Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 20A17970 | CA |
NPI | 1003311606 |
---|---|
Provider Name | Stephanie Songey |
First Address | Visalia, CA 93291-6237 |
Second Address | Visalia, CA 93291-6237 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/03/2018 |
Last Update Date | 15/10/2020 |