Provider Demographics
NPI:1366515397
Name:LIU, HUIMIN III (LICENSE ACUPUNCTUER)
Entity type:Individual
Prefix:MRS
First Name:HUIMIN
Middle Name:
Last Name:LIU
Suffix:III
Gender:F
Credentials:LICENSE ACUPUNCTUER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:853 S DUNIVIN LN
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-6709
Mailing Address - Country:US
Mailing Address - Phone:818-640-9198
Mailing Address - Fax:
Practice Address - Street 1:853 S DUNIVIN LN
Practice Address - Street 2:
Practice Address - City:DEWEY
Practice Address - State:AZ
Practice Address - Zip Code:86327-6709
Practice Address - Country:US
Practice Address - Phone:818-640-9198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAL,AC 8969171100000X
AZ011391171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturist