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MS. MICHELE LOUISE BIALY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
465 W PUTNAM AVE, PORTERVILLE, CA 93257
(559) 784-1110
Mailing address
PO BOX 7096, STOCKTON, CA 95267-0096
(209) 956-7725
(209) 956-7733

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
051207
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
NA3311
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA0033110
BLUE SHIELD OF CA
CA
Enumeration date
08/12/2006
Last updated
02/20/2012
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