Individual
COURTNEY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
671 MAIN ST, HARLEYSVILLE, PA 19438-1615
(215) 453-3091
Mailing address
PO BOX 1111, HARLEYSVILLE, PA 19438-0907
(215) 453-4995
(215) 453-4646
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DN004770
PA
133V00000X
Registered Dietitian
DN004770
PA
Other
Enumeration date
04/14/2014
Last updated
04/14/2014
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