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Individual

JIAN HUA LIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
720 HARRISON AVE, BOSTON, MA 02118-2393
(617) 638-8906
Mailing address
47 MOUNT VERNON ST, BRIGHTON, MA 02135-3212
(617) 987-0051

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
207584
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0705411
MA
Enumeration date
06/21/2006
Last updated
07/08/2007
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