Individual
JANE Y LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-4024
(600) 200-1431
Mailing address
450 STANYAN ST, SAN FRANCISCO, CA 94117-1019
(415) 750-4024
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932243003
—
CA
Enumeration date
04/12/2019
Last updated
04/12/2019
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