Individual
MRS. SUSAN ELLEN BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1563 N MAIN ST, FALL RIVER, MA 02720-2983
(508) 324-0328
(508) 679-8590
Mailing address
65 BUCKWHEAT AVE, PORTSMOUTH, RI 02871-1101
(401) 924-4763
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
19539
RI
163W00000X
Registered Nurse
Primary
275476
MA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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