Individual
ANDREW LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
11801 LARK DR., RANCHO CUCAMONGA, CA 91701
(909) 989-1600
Mailing address
11801 LARK DR., RANCHO CUCAMONGA, CA 91701
(909) 989-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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