Organization
COMB IT OUT LICE REMOVAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOFIA CECILIA DELEUSE (CO-OWNER)
(925) 849-6496
Entity
Organization
Contact information
Practice address
4375 CLAYTON RD STE J, CONCORD, CA 94521-5386
(925) 849-6496
Mailing address
4375 CLAYTON RD STE J, CONCORD, CA 94521-5386
(925) 849-6496
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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