Individual
ASHLEY BLAKE BLAKELEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
(213) 284-3353
Mailing address
400 W 30TH ST, LOS ANGELES, CA 90007-3320
(213) 284-3200
(213) 284-3353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
250631
MA
163W00000X
Registered Nurse
Primary
584577
CA
163W00000X
Registered Nurse
72515
CT
163W00000X
Registered Nurse
90539
SC
163W00000X
Registered Nurse
RN38532
RI
163W00000X
Registered Nurse
RN68057
NV
163W00000X
Registered Nurse
RN9253577
FL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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