Individual
JIA JIANN LIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 HIGHLAND AVE, MALDEN, MA 02148-6603
(617) 992-1539
Mailing address
1 HIGHLAND AVE, MALDEN, MA 02148-6603
(617) 992-1539
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP-5187
MA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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