Individual
GRACE MARIE ARCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15455 CONWAY RD, CHESTERFIELD, MO 63017-6022
(636) 675-7566
Mailing address
7105 N VILLANOVA DR, SAINT LOUIS, MO 63123-1617
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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