Individual
MRS. EDITH LUZ SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
90 VANDENBERG DR, HANSCOM AFB, MA 01731
(781) 225-6789
Mailing address
90 VANDENBERG DR, HANSCOM AFB, MA 01731-2104
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA2532
MA
Other
Enumeration date
09/03/2008
Last updated
05/24/2018
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