Individual
AMANDA KATHLEEN ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
776 S STATE ST STE 107, UKIAH, CA 95482-5858
(707) 463-4915
Mailing address
776 S STATE ST STE 107, UKIAH, CA 95482-5858
(707) 463-4915
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
CA
Other
Enumeration date
03/20/2015
Last updated
06/27/2024
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