Organization
LICE CONTROL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND RUIZ (CFO)
(415) 754-7774
Entity
Organization
Contact information
Practice address
6557 SHATTUCK AVE, OAKLAND, CA 94609
(510) 727-1280
Mailing address
20976 BAKER RD, CASTRO VALLEY, CA 94546-5731
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
08/14/2018
Last updated
09/01/2018
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