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Individual

REBECCA BLAKESLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN- PMHNP

Contact information

Practice address
836 SOUTHAMPTON RD STE B, BENICIA, CA 94510-1960
(602) 800-4699
(415) 276-5889
Mailing address
836 SOUTHAMPTON RD, STE B #115, BENICIA, CA 94510
(413) 426-8729

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95018903
CA

Other

Enumeration date
09/19/2021
Last updated
12/23/2024
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