Individual
JENNY LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
361 17TH ST NW, ATLANTA, GA 30363-1078
(678) 773-3169
Mailing address
361 17TH ST NW, ATLANTA, GA 30363-1078
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/07/2024
Last updated
12/07/2024
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