Individual
JANICE SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
PSW
Contact information
Practice address
2600 MARBLE AVE NE, ALBUQUERQUE, NM 87106-2058
(505) 272-5935
Mailing address
39 VISTA DEL SOL, TIJERAS, NM 87059-7917
(505) 272-5935
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
NM
Other
Enumeration date
12/04/2025
Last updated
12/04/2025
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