Individual
JACKIE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
5187 US ROUTE 60 E, HUNTINGTON, WV 25705-2076
(304) 302-2013
(304) 697-2086
Mailing address
PO BOX 1680, HUNTINGTON, WV 25717-1680
(304) 697-1396
(304) 697-1396
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
968488
WV
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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