Individual
JENNY XIE LIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9960 DEL SURF LN, ELK GROVE, CA 95757-2560
(415) 568-1385
Mailing address
9960 DEL SURF LN, ELK GROVE, CA 95757-2560
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/31/2021
Last updated
03/31/2021
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