Individual
LOU ANN CHESLOCK SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19023 US HWY 285, LA JARA, CO 81140
(719) 588-0783
Mailing address
128 MARKET ST, ALAMOSA, CO 81101-2290
(719) 587-1038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84134
CO
Other
Enumeration date
09/04/2008
Last updated
09/04/2008
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