Individual
ADRIANA BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1107 W POPLAR AVE, PORTERVILLE, CA 93257-5839
(877) 960-3426
Mailing address
305 E CENTER AVE, VISALIA, CA 93291-6331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
52576
CA
Other
Enumeration date
08/10/2015
Last updated
08/12/2015
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