Individual
LIAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
3432 RIGHTEOUS DR, STOCKTON, CA 95212-3150
(608) 733-8976
Mailing address
3432 RIGHTEOUS DR, STOCKTON, CA 95212-3150
(608) 733-8976
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95025207
CA
Other
Enumeration date
05/23/2023
Last updated
06/03/2023
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