John Adrian Liedecke
John Adrian Liedecke is a Student in an Organized Health Care Education/Training Program in San Rafael, California. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
20 N San Pedro Rd Ste 2021San Rafael, CA 94903-4158
Phone: (936) 661-2198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1952829814 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 31, 2017 |
| Last updated in NPPES | August 31, 2017 |
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