LUIZA LICA

CANTON, MI
NPI1578113593
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2019-09-12
Last Update Date2019-09-12
Business Address
LUIZA LICA
246 PRINCESS DR
CANTON, MI 48188-1142
Phone number: 734-629-7876
Mailing Address
LUIZA LICA
246 PRINCESS DR
CANTON, MI 48188-1142
Phone number:
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