Individual
JOSEPH DAVID BLAINE SKELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 CENTERPOINTE DR STE 130, LA PALMA, CA 90623-2562
(657) 325-8313
Mailing address
20 CENTERPOINTE DR STE 130, LA PALMA, CA 90623-2562
(657) 325-8313
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-SDGYIO
CA
Other
Enumeration date
12/27/2024
Last updated
03/21/2025
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