NICHOLAS BLAKELY

SAN JUAN CAPISTRANO, CA
NPI1275345753
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA66041)
Enumeration Date2025-01-22
Last Update Date2026-03-03
Business Address
NICHOLAS BLAKELY PA-C
30230 RANCHO VIEJO RD STE 200
SAN JUAN CAPISTRANO, CA 92675-1585
Phone number: 949-443-4303
Mailing Address
NICHOLAS BLAKELY PA-C
PO BOX 7087
ORANGE, CA 92863-7087
Phone number: 714-571-5000
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