| NPI | 1992245419 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA |
| Entity Type | Organization |
| Authorized Contact | ERIC D EISEN Mgr 203-948-3326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2017-03-02 |