Organization
MJT ENTERPRISES
Active
Other names
Lice Clinics of America St. Charles
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL THOMPSON (PRESIDENT)
(636) 544-9452
Entity
Organization
Contact information
Practice address
1053 S CALLAHAN RD, WENTZVILLE, MO 63385-4701
(636) 544-9452
Mailing address
1053 S CALLAHAN RD, WENTZVILLE, MO 63385-4701
(636) 544-9452
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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