Provider Demographics
NPI:1568538353
Name:WOO, MYONG SONG (RNC, MS)
Entity Type:Individual
Prefix:
First Name:MYONG
Middle Name:SONG
Last Name:WOO
Suffix:
Gender:F
Credentials:RNC, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 427 BOX 185
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09630
Mailing Address - Country:IT
Mailing Address - Phone:314-634-5807
Mailing Address - Fax:314-634-5816
Practice Address - Street 1:UNIT 31403 BOX 13
Practice Address - Street 2:
Practice Address - City:AE
Practice Address - State:APO
Practice Address - Zip Code:09630
Practice Address - Country:IT
Practice Address - Phone:39044-471-7716
Practice Address - Fax:39044-471-5816
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA519495163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient