Provider Demographics
NPI:1730398470
Name:LIU, JIANG (ACUPUNCTURIST)
Entity type:Individual
Prefix:MR
First Name:JIANG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:ACUPUNCTURIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2024 ARKANSAS VALLEY DR.
Mailing Address - Street 2:SUITE 402
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72212
Mailing Address - Country:US
Mailing Address - Phone:501-508-5665
Mailing Address - Fax:501-508-8484
Practice Address - Street 1:2024 ARKANSAS VALLY DR
Practice Address - Street 2:SUITE 402
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212
Practice Address - Country:US
Practice Address - Phone:501-508-5665
Practice Address - Fax:501-508-8484
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2018-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARDOM034171100000X
ARL.AC.034171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist