Organization · NPI-2

Lousy Endings

Technician, Other · Marietta, GA

NPI number1093255192
StatusActive
Last updated in NPPESMar 8, 2017

Details

NPI
1093255192
Entity type
Organization (NPI-2)
Legal business name
Lousy Endings
Organization subpart
No
Enumeration date
Mar 8, 2017
Last updated
Mar 8, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247200000X Technician, Other––Yes

Other names

  • Lice Clinics Of America- Marietta (Doing Business As)

Practice location

3911 Mary Eliza Trce Nw Ste 250
Marietta, GA 30064-1086

Phone 678-343-3932

Mailing address

3911 Mary Eliza Trce Nw Ste 250
Marietta, GA 30064-1086

Phone 678-343-3932

Authorized official

Kaila Johnson
Clinic Manager
7709904684

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Technician, Other providers in Marietta, GA