Lice Clinics of American - Central Mississippi, LLC

NPI #1265965818 in Ridgeland, Mississippi

Provider Information

NPI Number: 1265965818
Entity Type: Organization
Organization Name: Lice Clinics of American - Central Mississippi, LLC
Primary Specialty: Technician, Other
Enumeration Date: Apr 10, 2017
Last Updated: Apr 10, 2017

Practice Location

Address: 655 LAKE HARBOUR DR
Address 2: SUITE 400
City: Ridgeland
State: Mississippi
ZIP Code: 39157-4355
Phone: (601) 707-5712

Authorized Official

Name: MRS. CHRISTY SMALLING
Title: OWNER
Phone: (601) 707-5712

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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