Organization
PEDIATRIC HEALTH AND WELLNESS
Active
Other names
Proyouth
Organization subpart
No
Provider details
NPI number
Authorized official
SUNNIE L SKILES MD (MD)
(916) 626-3060
Entity
Organization
Contact information
Practice address
6815 FIVE STAR BLVD STE 100, ROCKLIN, CA 95677
(916) 626-3060
(916) 626-3063
Mailing address
6815 FIVE STAR BLVD STE 100, ROCKLIN, CA 95677-2691
(916) 626-3060
(916) 626-3063
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
G66133
CA
Other
Enumeration date
12/16/2014
Last updated
08/29/2018
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