Organization
LIV & EVE INC.
Active
Other names
Lice Clinics of America
Organization subpart
No
Provider details
NPI number
Authorized official
AMIRA PURTO (OWNER)
(209) 642-2061
Entity
Organization
Contact information
Practice address
937 COFFEE RD STE 800, MODESTO, CA 95355-4240
(209) 642-1506
Mailing address
PO BOX 577343, MODESTO, CA 95357-7343
(209) 642-2061
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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