Individual
JACQUES PHILIPPE ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
131B KENTUCKY ST., PETALUMA, CA 94952
(707) 763-5777
Mailing address
131B KENTUCKY STREET, PETALUMA, CA 94952
(707) 763-5777
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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