Individual
JUAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3820 BONNYBRIDGE PL, ELLICOTT CITY, MD 21043-4133
(443) 854-4748
Mailing address
3820 BONNYBRIDGE PL, ELLICOTT CITY, MD 21043-4133
(443) 854-4748
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
C0006000
MD
363AS0400X
Surgical Physician Assistant
C0006000
MD
Other
Enumeration date
12/22/2015
Last updated
11/13/2023
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