Lice Clinics of America - Gulf Coast

NPI #1609316835 in Daphne, Alabama

Provider Information

NPI Number: 1609316835
Entity Type: Organization
Organization Name: Lice Clinics of America - Gulf Coast
Primary Specialty: Technician, Other
Enumeration Date: Mar 7, 2017
Last Updated: Mar 7, 2017

Practice Location

Address: 9078 MERRITT LN
Address 2: SUITE D
City: Daphne
State: Alabama
ZIP Code: 36526-5614
Phone: (251) 660-4312

Authorized Official

Name: TAMI CUMMINGS
Title: CERTIFIED TECHNICIAN/OWNER
Phone: (251) 660-4312

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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