James Licata, LDO
NPI 1295029072 · on the registry since 2011
Practice
- Address
- 2048 E Baseline Rd # C-6
Mesa, AZ 85204 - Phone
- (480) 632-5075
- Fax
- (480) 507-0836
Registry record
- Primary taxonomy
- Optician
156FX1800X
- Licence states on file
- AZ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2011-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Arizona