Individual
JINGWEN LIAO
Active
Individual
JINGWEN LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC.
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
007221
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235004730
NEW YORK STATE ID CARD
NY
Enumeration date
12/05/2022
Last updated
12/05/2022
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