Individual
IVANA ISABELLE LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
505 CYPRESS AVE, SOUTH SAN FRANCISCO, CA 94080-2922
(650) 380-6149
(650) 952-5846
Mailing address
505 CYPRESS AVE, SOUTH SAN FRANCISCO, CA 94080-2922
(650) 380-6149
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
03/18/2022
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