Individual
JOHN BAIRD ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LVLN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8225
Mailing address
PO BOX 40046, SAN DIEGO, CA 92164-0046
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 173116
CA
Other
Enumeration date
10/27/2006
Last updated
07/08/2007
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