Erica Bloom

NPI #1730518390 in Sullivan, Ohio

Provider Information

NPI Number
1730518390
Entity Type
Individual
Name
Erica Bloom
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 4, 2013
Last Updated
Nov 4, 2013

Practice Location

Address
29230 STATE ROUTE 58
State
Ohio
ZIP Code
44880-9603
Phone
(440) 935-7084

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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