Individual
RUIMIN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
750 WARM SPRINGS AVE, SUITE B, BOISE, ID 83712-6475
(208) 385-7585
Mailing address
750 WARM SPRINGS AVE, BOISE, ID 83712-6475
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU-31
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010024369
BLUE SHIELD NUMBER
ID
Enumeration date
01/28/2007
Last updated
07/08/2007
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