Individual
JONATHAN SKIPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
142 LABBE ST, SAINT MARTINVILLE, LA 70582
(619) 451-6210
Mailing address
100 ASMA BLVD STE 200, LAFAYETTE, LA 70508-3868
(619) 451-6210
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/15/2016
Last updated
05/21/2018
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