Individual
ANDREW LEVI SKILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 423-3482
Mailing address
811 11TH AVE, LONGVIEW, WA 98632-2462
(360) 423-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
05/31/2018
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