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Search › California › 373H00000X

Deundre Skidmore

NPI 1508593583 · on the registry since 2022 · sole proprietor

Practice

Address
2828 Ford St
Oakland, CA 94601
Phone
(510) 913-4696
Organisation at this address
East Bay Agency For Children
East Bay Agency For Children
East Bay Agency For Children
Inferred from a shared address, not stated in the registry.
Clinicians at this address
154

Registry record

Primary taxonomy
373H00000X
373H00000X
Also registered as
171M00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-06-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California