Individual
BLAKELY PLEMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6400 TUPELO DR, CITRUS HEIGHTS, CA 95621-1741
(916) 729-3098
Mailing address
3051 ADELINE ST APT H, BERKELEY, CA 94703-2523
(479) 966-6848
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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