Provider Demographics
NPI:1568769651
Name:LIU, MANN-WEN
Entity Type:Individual
Prefix:
First Name:MANN-WEN
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MANN-WEN
Other - Middle Name:
Other - Last Name:KE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:18 WYKEHAM RD
Mailing Address - Street 2:
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2420
Mailing Address - Country:US
Mailing Address - Phone:617-335-3131
Mailing Address - Fax:
Practice Address - Street 1:18 WYKEHAM RD
Practice Address - Street 2:
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2420
Practice Address - Country:US
Practice Address - Phone:617-335-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2011-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist