Provider Demographics
NPI:1003488198
Name:ABARCA, SKYLA JULIANNE
Entity Type:Individual
Prefix:
First Name:SKYLA
Middle Name:JULIANNE
Last Name:ABARCA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15809 DAVIS CUP LN
Mailing Address - Street 2:
Mailing Address - City:RAMONA
Mailing Address - State:CA
Mailing Address - Zip Code:92065-4938
Mailing Address - Country:US
Mailing Address - Phone:619-647-8452
Mailing Address - Fax:
Practice Address - Street 1:15809 DAVIS CUP LN
Practice Address - Street 2:
Practice Address - City:RAMONA
Practice Address - State:CA
Practice Address - Zip Code:92065-4938
Practice Address - Country:US
Practice Address - Phone:619-647-8452
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other