JAMES LICATA

MESA, AZ
NPI1295029072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: AZ  748)
Enumeration Date2011-06-08
Last Update Date2011-06-08
Business Address
-- JAMES LICATA LDO
2048 E BASELINE RD # C-6
MESA, AZ 85204-6969
Phone number: 480-632-5075
Mailing Address
-- JAMES LICATA LDO
2048 E BASELINE RD # C-6
MESA, AZ 85204-6969
Phone number: 480-632-5075