NPI | 1518408343 |
---|---|
Doing Business As | LICE CLINICS OF AMERICA FT. WAYNE |
Entity Type | Organization |
Authorized Contact | MICHELE BUNDRANT Partner 317-345-0511 |
Organization Subpart ? | No |
Primary Taxonomy | 247200000X Technician, Other |
Enumeration Date | 2017-03-13 |
Last Update Date | 2017-03-13 |