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Individual
LIZA J BRYANT
Active
Individual
LIZA J BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
61069
CA
363A00000X
Physician Assistant
PA663
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831156041
—
NV
Enumeration date
05/01/2006
Last updated
01/16/2024
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