Andrea M. Blakely, STNA
Contractor in Columbus, OH. Individual provider (NPI-1).
NPI number1164540431
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1164540431
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrea M. Blakely
- Credential
- STNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 26, 2007
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | 374367241194 | OH | Yes |
Practice location
1748 Brookfield Sq NColumbus, OH 43229-3707
Phone 614-885-6313
Mailing address
1748 Brookfield Sq NColumbus, OH 43229-3707
Phone 614-885-6313
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