Organization
ICT VENTURE GROUP LL
Active
Other names
Lice Clinics of America Columbus
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY CUDIA (COO)
(614) 335-5015
Entity
Organization
Contact information
Practice address
951 WORTHINGTON WOODS LOOP RD, COLUMBUS, OH 43085-5743
(614) 335-5015
Mailing address
345 S BELMONT ST, WICHITA, KS 67218-1305
(614) 335-5015
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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