Individual
MISS ANJUILET A ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
102 NE LOBSTER RD, PORT ST LUCIE, FL 34983-1718
(772) 333-8226
(772) 333-2417
Mailing address
102 NE LOBSTER RD, PORT ST LUCIE, FL 34983-1718
(772) 333-8226
(772) 333-2417
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
6906640
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6906640
AHCA
FL
Enumeration date
12/17/2013
Last updated
12/17/2013
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