MRS. Juanita Bloom

NPI #1700241197 in Molalla, Oregon

Provider Information

NPI Number
1700241197
Entity Type
Individual
Name
MRS. Juanita Bloom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Massage Therapist
Enumeration Date
Dec 29, 2015
Last Updated
Dec 29, 2015

Practice Location

Address
207 E HEINTZ ST
State
Oregon
ZIP Code
97038-7324
Phone
(503) 960-6920

Specialties & Taxonomy Codes

Specialty
Massage Therapist

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