Individual
JOSHUA JACOB BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 WALNUT ST, YANKTON, SD 57078-3645
(605) 664-4220
(605) 664-4221
Mailing address
613 WALNUT ST, YANKTON, SD 57078-3645
(605) 664-4220
(605) 664-4221
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
SD
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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