Organization
LICE CLINICS OF MARYLAND, LLC
Active
Organization
LICE CLINICS OF MARYLAND, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALPH JAY UPDIKE (VICE PRESIDENT)
(410) 934-5423
Entity
Organization
Contact information
Practice address
604 PROVIDENCE ROAD, TOWSON, MD 21286
(410) 934-5423
Mailing address
604 PROVIDENCE ROAD, TOWSON, MD 21286
(410) 934-5423
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
03003633
MD
Other
Enumeration date
01/20/2017
Last updated
01/26/2017
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