Individual
NHA T LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
28248 N TATUM BLVD, BLDG B-1 #605, CAVE CREEK, AZ 85331-6343
(602) 996-5595
(602) 996-5610
Mailing address
PO BOX 2568, LITCHFIELD PARK, AZ 85340-2568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A78612
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A786120
—
CA
Enumeration date
06/01/2006
Last updated
09/26/2014
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