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Individual

MRS. LIAH FERDELIZ DE JESUS TANJUAQUIO

Active
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Individual

MRS. LIAH FERDELIZ DE JESUS TANJUAQUIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN767070
CA
163WC0400X
Case Management Registered Nurse
RN767070
CA
163WH0200X
Home Health Registered Nurse
Primary
RN767070
CA
163WR0400X
Rehabilitation Registered Nurse
RN767070
CA

Other

Enumeration date
12/31/2012
Last updated
12/31/2012
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