NPI | 1376056481 |
---|---|
Doing Business As | LICE LOUNGE DULUTH |
Entity Type | Organization |
Authorized Contact | KELLY RHEA MERRIMAN Owner, COO 651-815-3644 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local |
Enumeration Date | 2017-11-10 |
Last Update Date | 2017-11-10 |