Organization
LICE CLINICS OF AMERICA FREMONT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE DU (OWNER)
(510) 770-4394
Entity
Organization
Contact information
Practice address
39237 LIBERTY ST STE D-2, FREMONT, CA 94538-1501
(510) 770-4394
Mailing address
39237 LIBERTY ST STE D-2, FREMONT, CA 94538-1501
(510) 770-4394
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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