Individual
TIANYI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 NOVELL PL, PROVO, UT 84606-6101
(801) 375-5125
Mailing address
652 E WYNGATE POINTE LN, DRAPER, UT 84020-9695
(801) 458-3902
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2023
Last updated
05/11/2023
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