| NPI | 1831652544 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA |
| Entity Type | Organization |
| Authorized Contact | AMIRA PURTO Owner 209-642-2061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |