Individual
VIVIAN PETRA LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2315 STOCKTON BLVD, SACRAMENTO, CA 95817-2201
(916) 734-7041
Mailing address
3460 E LA PALMA AVE, ANAHEIM, CA 92806-2020
(916) 734-7041
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
A131922
CA
2083X0100X
Occupational Medicine Physician
Primary
A131922
CA
Other
Enumeration date
05/17/2013
Last updated
12/06/2021
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