# MOUNTAIN BLOOM ORIENTAL MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861724585
- **Authorized official:** CLAUDIA G BLETH L.AC., RN (OWNER/PRACTITIONER)
- **Authorized official phone:** (970) 769-8730

## Contact information

- **Practice address:** 1 MERCADO ST, SUITE 150, DURANGO, CO 81301-7306
- **Practice address phone:** (970) 769-8730
- **Practice address fax:** (970) 375-2207
- **Mailing address:** 454 HIGH TRAILS DR, DURANGO, CO 81301-6302
- **Mailing address phone:** (970) 769-8730
- **Mailing address fax:** (970) 375-2207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 993 | CO | Yes |

## Other

- **Enumeration date:** 02/04/2010
- **Last updated:** 02/04/2010