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Individual

ERRYNNE REBEKKAH ARCHIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1620 SANTA CLARA DR, ROSEVILLE, CA 95661-3558
(916) 862-5243
Mailing address
1506 BROOK PARK WAY, ROSEVILLE, CA 95747-7340
(916) 759-2815

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
07/15/2019
Last updated
04/23/2025
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