Individual
IVER LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
826 4TH ST, EUREKA, CA 95501-0516
(707) 445-5926
Mailing address
826 4TH ST, EUREKA, CA 95501-0516
(707) 445-5926
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
463374
CA
Other
Enumeration date
01/26/2018
Last updated
01/26/2018
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