Provider Demographics
NPI:1417727512
Name:LOI, QIYUE
Entity Type:Individual
Prefix:
First Name:QIYUE
Middle Name:
Last Name:LOI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 HAAS AVE APT 315
Mailing Address - Street 2:
Mailing Address - City:SAN LEANDRO
Mailing Address - State:CA
Mailing Address - Zip Code:94577-3701
Mailing Address - Country:US
Mailing Address - Phone:510-206-3164
Mailing Address - Fax:
Practice Address - Street 1:150 HAAS AVE APT 315
Practice Address - Street 2:
Practice Address - City:SAN LEANDRO
Practice Address - State:CA
Practice Address - Zip Code:94577-3701
Practice Address - Country:US
Practice Address - Phone:510-206-3164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN738081164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse