Individual
DR. ELLEN S SKIDMORE HONTIVEROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
3026 GAUSE BLVD E, SLIDELL, LA 70461-4155
(985) 649-9131
Mailing address
71073 LAKE PLACID DR, COVINGTON, LA 70433-6966
(317) 903-6964
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
8811
LA
Other
Enumeration date
06/01/2021
Last updated
07/22/2024
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