Individual
MARIE ELIZABETH SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
908 MAIN AVE APT 3, LA GRANDE, OR 97850-2252
(208) 866-1373
Mailing address
908 MAIN AVE APT 3, LA GRANDE, OR 97850-2252
(208) 866-1373
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
200340791RN
OR
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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