Wajta, LLC
Technician, Other in Gilroy, CA. Organization (NPI-2).
NPI number1982135240
StatusActive
Last updated in NPPESMar 27, 2017
Details
- NPI
- 1982135240
- Entity type
- Organization (NPI-2)
- Legal business name
- Wajta, LLC
- Organization subpart
- No
- Enumeration date
- Mar 27, 2017
- Last updated
- Mar 27, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 247200000X | Technician, Other | – | – | Yes |
Other names
- Lice Clinics Of America (Doing Business As)
Practice location
7680 Monterey StSuite 104
Gilroy, CA 95020-5271
Phone 408-500-5537
Mailing address
7680 Monterey StSuite 104
Gilroy, CA 95020-5271
Phone 408-500-5537
Authorized official
Amy Allen
Managing Member
4085005537
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