Individual
JESSICA ROSE SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Mailing address
1148 BROADWAY STE 100, TACOMA, WA 98402-3518
(253) 722-2161
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP61552358
WA
390200000X
Student in an Organized Health Care Education/Training Program
OL61172197
WA
Other
Enumeration date
04/01/2021
Last updated
06/05/2024
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