Individual
RACHEL BLAKELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8320 W SUNRISE BLVD, PLANTATION, FL 33322-5435
(954) 474-9660
Mailing address
790 E BROWARD BLVD APT 1907, FORT LAUDERDALE, FL 33301-3074
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DN26323
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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