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Individual

VIVIAN PETRA LIAO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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