MRS. Diana M. Bloomberg, LICENSED PRACTICAL N
NPI #1366773616 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1366773616
- Entity Type
- Individual
- Name
- MRS. Diana M. Bloomberg, LICENSED PRACTICAL N
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LICENSED PRACTICAL N
- Enumeration Date
- Jan 27, 2010
- Last Updated
- Jan 27, 2010
Practice Location
- Address
- 2112 LIBERTY LANE
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53545-0548
- Phone
- (608) 755-9503
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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