KEITH RAMON BLAKELY

SACRAMENTO, CA
NPI1285156661
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2017-07-07
Last Update Date2022-07-21
Business Address
Mr. KEITH RAMON BLAKELY
9738 LINCOLN VILLAGE
SACRAMENTO, CA 95827
Phone number: 916-714-5400
Mailing Address
Mr. KEITH RAMON BLAKELY
9738 LINCOLN VILLAGE DR
SACRAMENTO, CA 95827-3378
Phone number: 916-714-5400
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