Individual
SANDRA BETH SKATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D,O.
Contact information
Practice address
421 NUT TREE RD, VACAVILLE, CA 95687-3508
(707) 624-7580
(707) 624-7501
Mailing address
421 NUT TREE RD, VACAVILLE, CA 95687-3508
(707) 624-7580
(707) 624-7501
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
Primary
20A5614
CA
207Q00000X
Family Medicine Physician
20A5614
CA
Other
Enumeration date
09/20/2006
Last updated
10/06/2014
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