| NPI | 1003356429 |
|---|---|
| Doing Business As | LICE CLINICS MEDWAY |
| Entity Type | Organization |
| Authorized Contact | BRENDA C HOWARD President 508-292-6761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-03-04 |
| Last Update Date | 2017-03-04 |