Carol Blakely BA

NPI 1548563539 - Community Health Worker - 172V00000X

NPI Details
NPI 1548563539
Gender Female
Enumeration Date 12/13/2010
Last Updated 12/13/2010
Entity Type Individual
Active Over 5 years ago
Practice Location
2965 S JONES BLVD
LAS VEGAS NV, 89146-5629, US
Phone (702) 733-8098
Fax (702) 365-6497
Business Location
10525 NEW LONDON CT
LAS VEGAS NV, 89129-6469, US
Phone (702) 423-5902
Fax (702) 395-6497
Toxanomy
Taxonomy Code 172V00000X
License State
License Number
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According to our database, Carol Blakely BA NPI is 1548563539, taxonomy code is 172V00000X Carol Blakely BA physically located at 2965 S Jones Blvd, Las Vegas NV, 89146-5629. NPI Number Carol Blakely BA has the Individual type.

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1548563539 NPI number is provided on an as is basis without warranty of any kind. 1548563539 is maintained by the National Plan & Provider Enumeration System. The contents of Carol Blakely BA are for informational purposes only.