# BLOOM FOR WOMEN LLC

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

## Provider details

- **NPI number:** 1891530960
- **Authorized official:** WALTER ERIC RED (MANAGER)
- **Authorized official phone:** (503) 858-7832

## Contact information

- **Practice address:** 199 N 290 W STE 150, LINDON, UT 84042-5004
- **Practice address phone:** (503) 858-7832
- **Mailing address:** 199 N 290 W STE 150, LINDON, UT 84042-5004
- **Mailing address phone:** (503) 858-7832

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 06/28/2024
- **Last updated:** 06/28/2024