Individual
CONRAD SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 N LAMB BLVD SPC 17, LAS VEGAS, NV 89110-1329
(702) 305-4924
Mailing address
1111 N LAMB BLVD SPC 17, LAS VEGAS, NV 89110-1329
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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