Individual
VICTOR GUAN QIAO LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1975 4TH ST # 4012, SAN FRANCISCO, CA 94143-2351
(415) 353-9154
Mailing address
1975 4TH ST # 4012, SAN FRANCISCO, CA 94143-2351
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
95027656
CA
364SP0200X
Pediatric Clinical Nurse Specialist
5103
CA
Other
Enumeration date
08/31/2024
Last updated
08/31/2024
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