Individual
JIAYU TIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 CLINIC DR, WEST LAFAYETTE, IN 47907-2122
(765) 494-8591
Mailing address
715 CLINIC DR, WEST LAFAYETTE, IN 47907-2122
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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