CLOYCE ELIZABETH BLAKELY

ALBUQUERQUE, NM
NPI1184087744
Former NameCLOYCE ELIZABETH NELSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NM  PA2016-0015)
Additional Taxonomies363A00000X Physician Assistant
(Licence: OR  PA175856)
363AS0400X Physician Assistant Surgical
(Licence: OR  PA175856)
Enumeration Date2016-03-31
Last Update Date2019-05-13
Business Address
CLOYCE ELIZABETH BLAKELY PA-C
201 CEDAR ST SE STE 5660
ALBUQUERQUE, NM 87106-4920
Phone number: 505-563-6565
Mailing Address
CLOYCE ELIZABETH BLAKELY PA-C
3723 SE 40TH AVE
PORTLAND, OR 97202-1710
Phone number: 505-818-3818