Organization
LICE CLINICS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL CUNNINGHAM (OWNER)
(206) 412-8444
Entity
Organization
Contact information
Practice address
6632 S 191ST PL STE E107, KENT, WA 98032-2117
(206) 412-8444
Mailing address
6632 S 191ST PL STE E107, KENT, WA 98032-2117
(206) 412-8444
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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