Organization
ARCHER PILATES AND WELLNESS LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE DIEVENEY (OWNER)
(310) 467-4313
Entity
Organization
Contact information
Practice address
6504 ARIZONA AVE, LOS ANGELES, CA 90045-1330
(310) 215-0300
Mailing address
6504 ARIZONA AVE, LOS ANGELES, CA 90045-1330
(310) 215-0300
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15805
CA
Other
Enumeration date
04/06/2009
Last updated
04/06/2009
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