Jacquelyn Willilams-blakey O.D.

NPI 1639217722 - Optometrist - 152W00000X

NPI Details
NPI 1639217722
Gender Female
Enumeration Date 02/02/2007
Last Updated 11/15/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
1675 CANTON CENTER RD.
CANTON MI, 48187, US
Phone (734) 927-9963
Fax (734) 927-9966
Business Location
18331 FAIRFIELD ST
DETROIT MI, 48221, US
Phone (313) 863-8387
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Michigan
License Number JW003785
Remove 1639217722 NPI Number
 

According to our database, Dr. Jacquelyn Willilams-blakey O.D. NPI is 1639217722, taxonomy code is 152W00000X and license number is JW003785, license state is located at Michigan. Jacquelyn Willilams-blakey O.D. physically located at 1675 Canton Center Rd., Canton MI, 48187. NPI Number Jacquelyn Willilams-blakey O.D. has the Individual type.

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1639217722 NPI number is provided on an as is basis without warranty of any kind. 1639217722 is maintained by the National Plan & Provider Enumeration System. The contents of Jacquelyn Willilams-blakey O.D. are for informational purposes only.