Archuleta, Liza Ann
Archuleta, Liza Ann is an sole proprietor health care provider with primary practice located at 2000 W Briggsmore Ave Ste A , Modesto CA 95350-3839. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Archuleta, Liza Ann can be contacted via phone (209) 494-7145.Contact Information
Primary practice address
2000 W Briggsmore Ave Ste A
Modesto CA 95350-3839
Phone: (209) 494-7145
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1083371074 |
|---|---|
| LBN Legal business name | Archuleta, Liza Ann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 24th, 2021 |
| Last updated | Jul 8th, 2022 - about 2 years ago |
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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