Jaxan Archibald

NPI #1376253427 in Price, Utah

Provider Information

NPI Number: 1376253427
Entity Type: Individual
Name: Jaxan Archibald
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Nov 30, 2022
Last Updated: Nov 30, 2022

Practice Location

Address: 496 E 100 N
City: Price
State: Utah
ZIP Code: 84501-2667
Phone: (435) 637-4320

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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