MS. Mary Ellen Teresa Blakesley, BS

NPI #1073630786 in Melbourne, Florida

Provider Information

NPI Number
1073630786
Entity Type
Individual
Name
MS. Mary Ellen Teresa Blakesley, BS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Case Manager/Care Coordinator
Credential
BS
Enumeration Date
Mar 26, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
2000 COMMERCE DR
State
Florida
ZIP Code
32904-2335
Phone
(321) 409-2170

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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