VIDA LORRAINE BLAKELY

MODESTO, CA
NPI1316116171
Professional NameVIDA LORRAINE HARVEY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-02-26
Last Update Date2008-02-26
Business Address
MS. VIDA LORRAINE BLAKELY MFTT
1700 MCHENRY VILLAGE WAY SUITE11
MODESTO, CA 95350-4308
Phone number: 209-526-1476
Mailing Address
MS. VIDA LORRAINE BLAKELY MFTT
1227 COUNTRYSIDE LN
MANTECA, CA 95337-6700
Phone number: 510-828-3037