SearchIowa163WA2000X

Melissa Song

NPI 1306552989 · on the registry since 2023

Practice

Address
406 E Vista Lake Ave
Polk City, IA 50226
Phone
(515) 779-3462

Registry record

Primary taxonomy
163WA2000X
163WA2000X
Licence states on file
IA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa