Individual
MICHAEL SCOTT BLAKESLEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINIC, SUITE 104, PROVIDENCE, RI 02609
(401) 347-9093
(401) 633-6949
Mailing address
60 VALLEY STREET CLINICA ESPERANZA/HOPE CLINIC, SUITE 104, PROVIDENCE, RI 02609
(401) 347-9093
(401) 633-6949
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/07/2018
Last updated
05/09/2024
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