Individual
ELIZABETH BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
160 E 12TH ST STE 1, DURANGO, CO 81301-5261
(970) 236-8090
Mailing address
PO BOX 4251, DURANGO, CO 81302-4251
(507) 261-3535
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86027442
—
Other
Enumeration date
03/26/2015
Last updated
03/20/2025
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