Individual
YIN YA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
597 CENTER AVE, MARTINEZ, CA 94553
(925) 313-6250
Mailing address
597 CENTER AVE, MARTINEZ, CA 94553-4640
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
790509
CA
163WC1500X
Community Health Registered Nurse
Primary
790509
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D8347208
DRIVER'S LICENSE
CA
Enumeration date
07/19/2017
Last updated
07/19/2017
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