JAXAN ARCHIBALD

PRICE, UT
NPI1376253427
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2022-11-30
Last Update Date2022-11-30
Business Address
JAXAN ARCHIBALD
496 E 100 N
PRICE, UT 84501-2667
Phone number: 435-637-4320
Mailing Address
JAXAN ARCHIBALD
PO BOX 867
PRICE, UT 84501-0867
Phone number: