Individual
JESSIE TONG LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
(646) 248-0889
Mailing address
66 HIGH RIDGE RD, STAMFORD, CT 06905-3807
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PCT0014213
CT
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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