Individual
EMILIE ROSE BLAKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
52 INLOW LOOP RD, TONASKET, WA 98855-9309
(509) 868-5944
Mailing address
52 INLOW LOOP RD, TONASKET, WA 98855-9309
(509) 868-5944
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA60354535
WA
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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