Provider Demographics
NPI:1477143477
Name:LIANG, YINGJUAN
Entity Type:Individual
Prefix:
First Name:YINGJUAN
Middle Name:
Last Name:LIANG
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 1:399 FOUNTAIN CREST DR
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-1840
Mailing Address - Country:US
Mailing Address - Phone:901-340-6433
Mailing Address - Fax:
Practice Address - Street 1:399 FOUNTAIN CREST DR
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-1840
Practice Address - Country:US
Practice Address - Phone:901-340-6433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-22
Last Update Date:2021-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist