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Alyssa Bacon-liu
Student in an Organized Health Care Education/Training Program in Gardena, California
NPI 1881473494

Alyssa Bacon-liu is a Student in an Organized Health Care Education/Training Program based in Gardena, CA. Alyssa Bacon-liu practices in Gardena, CA. The NPI Number for Alyssa Bacon-liu is 1881473494 and holds a License No. (California).

The current practice location address for Alyssa Bacon-liu is 14112 S Kingsley Dr, Gardena, CA and can be reached out via phone at 310-533-6600.

Location: 14112 S Kingsley Dr, Gardena, CA, 90249-3018
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881473494
Provider Name
Alyssa Bacon-liu
Credential
Provider Entity Type
Individual
Gender
Female
Address
14112 S Kingsley Dr, Gardena, CA, 90249-3018
Phone Number
310-533-6600
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-533-6600
Fax Number
person
Provider Business Mailing Address Details
Address
14112 S Kingsley Dr
City
Gardena
State
California
Zip
90249-3018
Phone Number
310-533-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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