SHELBY L BLACKLEY

TRUMBULL, CT
NPI1518584259
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: CT  4908)
Enumeration Date2020-06-29
Last Update Date2025-10-01
Business Address
SHELBY L BLACKLEY
5520 PARK AVE STE WP-2300
TRUMBULL, CT 06611-3463
Phone number: 203-374-0310
Mailing Address
SHELBY L BLACKLEY
60 METROPOLITAN PARK DR
RIVERSIDE, RI 02915-2150
Phone number: 508-463-7929
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