Randy Bloom, FNP-BC
NPI #1265086854 in Rancho Mirage, California
Provider Information
- NPI Number
- 1265086854
- Entity Type
- Individual
- Name
- Randy Bloom, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Credential
- FNP-BC
- Enumeration Date
- Jul 31, 2019
- Last Updated
- Jan 23, 2020
Practice Location
- Address
- 39000 BOB HOPE DR
- City
- Rancho Mirage
- State
- California
- ZIP Code
- 92270-3221
- Phone
- (760) 773-2882
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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