Individual
CECELIA R BLAWIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(330) 493-4443
(330) 493-8677
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(330) 493-4443
(330) 493-8677
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
G70136
CA
207R00000X
Internal Medicine Physician
Primary
G70136
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G701360
—
CA
Enumeration date
07/05/2006
Last updated
10/13/2010
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