| Archive Health Medical Pc | |
|
2701 Keystone Pacific Pkwy Patterson CA 95363-8872 | |
| (216) 245-5259 | |
| Not Available |
| Full Name | Archive Health Medical Pc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2701 Keystone Pacific Pkwy, Patterson, California |
| Authorized Official Name and Position | Tristan Acosta-pecina (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 8304211915 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Archive Health Medical Pc 712 H St Ne Ste 47 Washington DC 20002-3627 Ph: (216) 245-5259 | Archive Health Medical Pc 2701 Keystone Pacific Pkwy Patterson CA 95363-8872 Ph: (216) 245-5259 |
| NPI Number | 1770303414 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770303414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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