| NPI | 1770095291 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA - CLEARFIELD |
| Entity Type | Organization |
| Authorized Contact | ADAM WILLIAM WARD LLC Member 801-916-2672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |