Individual
EXIE MARIE DEKNIGHT-SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 W AVENUE J, LANCASTER, CA 93534-3443
(661) 949-0131
Mailing address
36813 LITTLE LEAF DR, PALMDALE, CA 93550-4478
(661) 492-5053
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000CB7733
—
CA
Enumeration date
05/22/2007
Last updated
03/23/2009
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