Individual
TIA NICOLE SKINNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST
Contact information
Practice address
5347 LILA LN, VIRGINIA BEACH, VA 23464-6783
(757) 201-5442
Mailing address
PO BOX 64651, VIRGINIA BEACH, VA 23467-4651
(757) 201-5442
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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