Provider Demographics
NPI:1497288278
Name:5 STONES LLC
Entity Type:Organization
Organization Name:5 STONES LLC
Other - Org Name:LICE CLINICS OF AMERICA OF MONTEREY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ADRIENNE
Authorized Official - Middle Name:A
Authorized Official - Last Name:GAILY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:831-521-5212
Mailing Address - Street 1:1299 PACIFIC ST
Mailing Address - Street 2:
Mailing Address - City:MONTEREY
Mailing Address - State:CA
Mailing Address - Zip Code:93940-6144
Mailing Address - Country:US
Mailing Address - Phone:831-521-5212
Mailing Address - Fax:831-657-0192
Practice Address - Street 1:1299 PACIFIC ST
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-6144
Practice Address - Country:US
Practice Address - Phone:831-521-5212
Practice Address - Fax:831-657-0192
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-07
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty