Penjit Blakely

NPI #1588841258 in Urbandale, Iowa

Provider Information

NPI Number: 1588841258
Entity Type: Individual
Name: Penjit Blakely
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Registered Nurse
Enumeration Date: Jan 24, 2008
Last Updated: Jan 24, 2008

Practice Location

Address: 4412 73RD PL
City: Urbandale
State: Iowa
ZIP Code: 50322-1122
Phone: (515) 252-8689

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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