Individual
DR. G WAYMAN BLAKELY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
1911 WILLIAMS DR, STE. 200, OXNARD, CA 93036-2612
(323) 806-8633
Mailing address
PO BOX 91357, LOS ANGELES, CA 90009-1357
(323) 806-8633
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A30851
CA
Other
Enumeration date
07/28/2010
Last updated
10/15/2014
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