Individual
BARBRA ARCHIBEQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1494 NW 15TH ST, GRESHAM, OR 97030-3652
(951) 741-4948
Mailing address
1494 NW 15TH ST, GRESHAM, OR 97030-3652
(951) 741-4948
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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