James Licata, LDO
James Licata, LDO is an Optician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
Practice location Address checks out
2048 E Baseline Rd # C-6Mesa, AZ 85204-6969
Phone: (480) 632-5075
Fax: (480) 507-0836
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 748 (AZ) |
|---|
Record details
| NPI number | 1295029072 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LDO |
| Sole proprietor | No |
| NPI enumerated | June 8, 2011 |
| Last updated in NPPES | June 8, 2011 |
| Mailing address | 2048 E Baseline Rd # C-6, Mesa, AZ 85204-6969 |
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