Individual
SKYLER WILL JIMMIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 601-5573
Mailing address
801 ENCINO PL NE, ALBUQUERQUE, NM 87102-2612
(505) 601-5573
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/17/2025
Last updated
06/17/2025
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