Individual
MRS. RACHAEL LYNN BLEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12660 TEN MILE RD, SOUTH LYON, MI 48178-9141
(248) 348-1131
(248) 348-1171
Mailing address
PO BOX 27420, BELFAST, ME 04915-2026
(586) 216-7423
(248) 327-1261
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0005225
CO
363AM0700X
Medical Physician Assistant
Primary
5601010532
MI
Other
Enumeration date
12/15/2017
Last updated
09/28/2021
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