Individual
JULIA ANN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
224 CHINOOK PARK LN, GRANTS PASS, OR 97527-4406
(541) 474-2022
(541) 474-2022
Mailing address
PO BOX 207, GRANTS PASS, OR 97528-0195
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
05813
OR
Other
Enumeration date
08/14/2010
Last updated
08/14/2010
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