| NPI | 1477319143 |
|---|---|
| Other Name | LIGHTNING LICE REMOVAL |
| Entity Type | Organization |
| Authorized Contact | JOHN E FASSLER Medical Director 704-909-9414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-02-21 |