LISA SUZANNE BLACKLEY

MORENO VALLEY, CA
NPI1821782053
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: CA  A200136)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-06-08
Last Update Date2026-05-18
Business Address
LISA SUZANNE BLACKLEY MD
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5434
Mailing Address
LISA SUZANNE BLACKLEY MD
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: