Organization
NEW JERSEY LICE TREATMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN CROY (MEMBER)
(215) 301-5181
Entity
Organization
Contact information
Practice address
503 BIRCHFIELD DR # 503A, MOUNT LAUREL, NJ 08054-4009
(856) 334-2589
Mailing address
749 ARDEN RD, JENKINTOWN, PA 19046-1524
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
06/14/2017
Last updated
06/14/2017
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