Individual
FONG YU LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
630 MISSION ST, SOUTH PASADENA, CA 91030-3058
(626) 799-9888
Mailing address
18559 STONEGATE LN, ROWLAND HEIGHTS, CA 91748-5158
(626) 252-8292
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14053
CA
Other
Enumeration date
01/26/2011
Last updated
01/26/2011
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