Individual
JIA NI LIU ARREOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 943-2000
Mailing address
812 PROSPERITY ST, MOUNTAIN HOUSE, CA 95391-1112
(415) 503-7205
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
739245
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95001536
CA
Other
Enumeration date
10/11/2020
Last updated
07/29/2021
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