Individual ProviderSharon SoongRegistered NurseNursing Service ProvidersPractice Address330 Campus Dr, Hanford, CA 93230-4375(559) 582-3211PECOS EnrollmentBased on the most recent information from CMS, provider Sharon Soong does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1629394838Provider TypeIndividualFull NameSoong, SharonGenderFemaleSole ProprietorYesEnumeration Date4/13/2010Last Updated4/13/2010Contact InformationPractice LocationPractice Address330 Campus Dr, Hanford, CA 93230-4375Phone(559) 582-3211Fax(559) 584-5672Mailing LocationMailing Address330 Campus Dr, Hanford, CA 93230-4375Phone(559) 582-3211Fax(559) 584-5672Provider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense752043CaliforniaProvider IdentifiersIDDescriptionIssuerID261QP0905XDescriptionMedicaidIssuerUnlistedCalifornia