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Individual

DR. JACQUELINE BLAKELY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
N.D, CRC, LAC

Contact information

Practice address
1615 20TH ST, SAN FRANCISCO, CA 94107-2810
(415) 643-6600
(415) 643-6644
Mailing address
1615 20TH ST, SAN FRANCISCO, CA 94107-2810
(415) 643-6600
(415) 643-6644

Taxonomy

Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
ND 573
CA

Other

Enumeration date
01/17/2013
Last updated
01/17/2013
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