LISA SUZANNE BLACKLEY MD
Individual Provider (NPI-1)
Active
Emergency Medicine
Provider Information
- NPI Number
1821782053- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 26520 CACTUS AVE, MORENO VALLEY, CA, 925553927
- Phone
- (951) 486-5434
Specialties & Taxonomies
Emergency Medicine
Primary License: CA #A200136
Student in an Organized Health Care Education/Training Program
All Addresses
MAILING
26520 CACTUS AVE
MORENO VALLEY, CA, 925553927