Individual
DEUNDRE MORRIS SKIDMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 913-4696
Mailing address
2828 FORD ST, OAKLAND, CA 94601-2114
(510) 913-4696
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
CA
373H00000X
Day Training/Habilitation Specialist
Primary
—
CA
Other
Enumeration date
08/01/2022
Last updated
06/05/2025
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