Organization
LIFE OF LUCID LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAASIA WASHINGTON (MEMBER)
(609) 358-5970
Entity
Organization
Contact information
Practice address
659 RUTHERFORD AVE, TRENTON, NJ 08618-4455
(609) 358-5970
Mailing address
659 RUTHERFORD AVE, TRENTON, NJ 08618-4455
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
03/21/2022
Last updated
03/21/2022
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