Individual
JENNIFER JIAYI LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6355 WALKER LN STE 411, ALEXANDRIA, VA 22310-3250
(703) 313-0373
Mailing address
6355 WALKER LN STE 411, ALEXANDRIA, VA 22310-3250
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
0101281116
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2019
Last updated
07/22/2024
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