Individual
CODY HAO LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(571) 623-3500
Mailing address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(571) 623-3500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001292835
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024185257
VA
Other
Enumeration date
08/30/2022
Last updated
09/15/2022
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