Individual
TIFFANIE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 E BROAD ST FL 9, RICHMOND, VA 23298-5025
(804) 828-9000
Mailing address
6301 STEVENSON AVE APT 1116, ALEXANDRIA, VA 22304-3519
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
50083007
DC
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301405
VA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/07/2020
Last updated
07/12/2024
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