Individual
TERRI BLOMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4320 BRAMBLETON AVE STE B, ROANOKE, VA 24018-3405
(540) 725-7546
(540) 725-9741
Mailing address
4320 BRAMBLETON AVE STE B, ROANOKE, VA 24018-3405
(540) 725-7546
(540) 725-9741
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004465
VA
Other
Enumeration date
01/18/2014
Last updated
07/29/2015
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