Individual
JENNIFER RENEE SKEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6242 MALCOLM DR, SAN DIEGO, CA 92115-5704
(619) 997-0429
Mailing address
6611 MALCOLM DR, SAN DIEGO, CA 92115-5915
(619) 313-3193
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B8367391
DRIVER LICENSE
CA
Enumeration date
08/17/2020
Last updated
08/17/2020
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