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Individual

FEI FAN LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA

Contact information

Practice address
1569 FAIRWAY DR STE 226, WALNUT, CA 91789-3418
(162) 643-3554
Mailing address
1569 FAIRWAY DR STE 226, WALNUT, CA 91789-3418
(162) 643-3554

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA13731
CA

Other

Enumeration date
09/17/2021
Last updated
09/17/2021
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