Individual
MS. CARLA JEAN SKILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
1212 N CALIFORNIA ST, STOCKTON, CA 95202-1552
(209) 468-0910
(209) 468-3516
Mailing address
1127 13TH ST, MODESTO, CA 95354-0907
(209) 558-7454
(209) 558-4092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
CA
Other
Enumeration date
03/23/2007
Last updated
12/20/2023
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