Individual
DAMIEN A ARCHAMBEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT, CLT
Contact information
Practice address
58 SAVAGE CT, FALLING WATERS, WV 25419-1469
(301) 842-4606
Mailing address
58 SAVAGE CT, FALLING WATERS, WV 25419-1469
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019016915
VA
225700000X
Massage Therapist
Primary
2017-3502
WV
225700000X
Massage Therapist
M06141
MD
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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