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Individual
MS. SHIQUAN XIONG
Active
Individual
MS. SHIQUAN XIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A102651
CA
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
A102651
CA
2084P0800X
Psychiatry Physician
Primary
A102651
CA
2084P0804X
Child & Adolescent Psychiatry Physician
A102651
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A102651
PHYSICIAN LIC NUMBER
CA
Enumeration date
07/16/2009
Last updated
01/08/2013
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