Individual
JESSICA LEE SKIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4716 ILLINOIS RD STE 102, FORT WAYNE, IN 46804-5123
(260) 436-6400
(260) 435-1595
Mailing address
4716 ILLINOIS RD STE 102, FORT WAYNE, IN 46804-5123
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
17001209A
IN
Other
Enumeration date
01/21/2013
Last updated
01/21/2013
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