TERRY RICHARD SKOK

FONTANA, CA
NPI1932106697
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: CA  349032)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: WA  AP30004493)
Enumeration Date2005-07-07
Last Update Date2007-07-22
Business Address
Mr. TERRY RICHARD SKOK RNP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3395
Mailing Address
Mr. TERRY RICHARD SKOK RNP
9961 SIERRA AVE
FONTANA, CA 92335-6720
Phone number: 909-427-3395