Archer, Amanda Kathleen

Archer, Amanda Kathleen is an individual health care provider with primary practice located at 776 S State St Ste 107 , Ukiah CA 95482-5858. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Archer, Amanda Kathleen can be contacted via phone (707) 463-4915.

Contact Information

Primary practice address
776 S State St Ste 107 Ukiah CA 95482-5858
Phone: (707) 463-4915
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X California

Profile Details

NPI number 1295129807
LBN Legal business name Archer, Amanda Kathleen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2015
Last updated Jun 27th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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