Individual
TINA LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17461 DERIAN AVE STE 114, IRVINE, CA 92614-5820
(714) 788-9236
Mailing address
421 AURA DR, COSTA MESA, CA 92626-8401
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
6799
CA
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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