Individual
CASEY CHARLEY BLAIR CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Mailing address
2633 E 27TH ST, OAKLAND, CA 94601-1912
(510) 535-5115
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
95295810
CA
Other
Enumeration date
09/26/2025
Last updated
10/24/2025
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