| NPI | 1316470693 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA ST. CHARLES |
| Entity Type | Organization |
| Authorized Contact | MICHAEL THOMPSON President 636-544-9452 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2017-04-04 |