Lousy Endings

NPI #1093255192 in Marietta, Georgia

Provider Information

NPI Number: 1093255192
Entity Type: Organization
Organization Name: Lousy Endings
Primary Specialty: Technician, Other
Enumeration Date: Mar 8, 2017
Last Updated: Mar 8, 2017

Practice Location

Address: 3911 MARY ELIZA TRCE NW STE 250
City: Marietta
State: Georgia
ZIP Code: 30064-1086
Phone: (678) 343-3932

Authorized Official

Name: MRS. KAILA JOHNSON
Title: CLINIC MANAGER
Phone: (770) 990-4684

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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