Individual
SKYLER INGEMANSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
151 N SUNRISE AVE, ROSEVILLE, CA 95661-2924
(916) 782-1217
(916) 782-7630
Mailing address
308 KATARINA LN, FOLSOM, CA 95630-7197
(415) 305-8905
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
22784
CA
Other
Enumeration date
01/17/2013
Last updated
04/28/2015
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