Individual
DENISE YVONNE SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 W. WYOMING AVE, PHILA, PA 19140
(267) 575-2590
Mailing address
213 W WYOMING AVE, PHILA, PA 19140-1529
(267) 575-2590
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN104607L
PA
Other
Enumeration date
07/01/2011
Last updated
07/01/2011
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