| NPI | 1235670191 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA - JACKSONVILLE |
| Entity Type | Organization |
| Authorized Contact | OLIVIA MAE MEFFORD Owner/Operator 217-370-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |