Individual
ANNI LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1937 S 95TH ST, WEST ALLIS, WI 53227-1414
(414) 779-9692
Mailing address
1937 S 95TH ST, WEST ALLIS, WI 53227-1414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
517529
WI
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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