Individual
MRS. LIZA HOEN REICHENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 WHIPPLE AVE, SUITE 210, REDWOOD CITY, CA 94062-2843
(650) 365-5996
(650) 365-0655
Mailing address
330 AVILA RD, SAN MATEO, CA 94402-2852
(650) 454-9951
(650) 350-1228
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
002934
GA
363AM0700X
Medical Physician Assistant
Primary
PA19934
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001887A
—
GA
Enumeration date
08/17/2006
Last updated
08/25/2010
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