| NPI | 1760922975 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA - NOVA |
| Entity Type | Organization |
| Authorized Contact | DARLENE LAFRAMBOISE Owner 703-303-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-03-07 |
| Last Update Date | 2017-03-07 |