Individual
MIA ANJILEE ARCHIBEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3442 HOLLYBERRY DR, VISTA, CA 92084-7454
(760) 458-7419
Mailing address
3442 HOLLYBERRY DR, VISTA, CA 92084-7454
(760) 458-7419
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
78733
CA
Other
Enumeration date
09/26/2021
Last updated
09/26/2021
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