| Proyouth | |
|
6815 Five Star Blvd Ste 100 Rocklin CA 95677 | |
| (916) 626-3060 | |
| (916) 626-3063 |
| Full Name | Proyouth |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6815 Five Star Blvd Ste 100, Rocklin, California |
| Authorized Official Name and Position | Sunnie L Skiles (MD) |
| Authorized Official Contact | 9166263060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Proyouth 6815 Five Star Blvd Ste 100 Rocklin CA 95677-2691 Ph: (916) 626-3060 | Proyouth 6815 Five Star Blvd Ste 100 Rocklin CA 95677 Ph: (916) 626-3060 |
| NPI Number | 1124426580 |
|---|---|
| Provider Enumeration Date | 12/16/2014 |
| Last Update Date | 08/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124426580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | G66133 (California) | Primary |
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