Organization
WAJTA, LLC
Active
Other names
Lice Clinics of America
Organization subpart
No
Provider details
NPI number
Authorized official
AMY ALLEN (MANAGING MEMBER)
(408) 500-5537
Entity
Organization
Contact information
Practice address
7680 MONTEREY ST, SUITE 104, GILROY, CA 95020-5271
(408) 500-5537
Mailing address
7680 MONTEREY ST, SUITE 104, GILROY, CA 95020-5271
(408) 500-5537
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/27/2017
Last updated
03/27/2017
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