Provider Demographics
NPI:1205421013
Name:FERRELL, YVONNE SONG (ACUPUNCTURIST)
Entity type:Individual
Prefix:MRS
First Name:YVONNE
Middle Name:SONG
Last Name:FERRELL
Suffix:
Gender:F
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:YVONNE
Other - Middle Name:SONG
Other - Last Name:FERRELL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ACUPUNCTURIST
Mailing Address - Street 1:497 N RESLER DR STE C16829
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79912-2744
Mailing Address - Country:US
Mailing Address - Phone:915-760-7960
Mailing Address - Fax:
Practice Address - Street 1:497 N RESLER DR STE C16829
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79912-2744
Practice Address - Country:US
Practice Address - Phone:915-760-7960
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist