Individual
MATTHEW LIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
HIGHWAY 57 & ROUTE 9, CROWNPOINT, NM 87313
(505) 786-6347
(505) 786-2526
Mailing address
PO BOX 358, CROWNPOINT, NM 87313-0358
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03522400
NJ
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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