Organization
LICE CLINICS OF AMERICA- PLEASANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY BARUKZAI (OWNER)
(209) 262-5474
Entity
Organization
Contact information
Practice address
818 MAIN ST STE H, PLEASANTON, CA 94566-6648
(925) 400-9696
Mailing address
818 MAIN ST STE H, PLEASANTON, CA 94566-6648
(925) 400-9696
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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