Individual
JENNY LIEU CHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2789 SUNRIDGE HEIGHTS PKWY STE 100, HENDERSON, NV 89052-5053
(702) 614-0850
(702) 614-0798
Mailing address
PO BOX 50716, HENDERSON, NV 89016-0716
(702) 614-0850
(702) 614-0798
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10588
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100500720
—
NV
05
—
100500721
—
NV
Enumeration date
01/31/2006
Last updated
11/17/2023
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