Individual
MRS. JENNIFER BLOOMQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N., C.N.S.
Contact information
Practice address
3350 LA JOLLA VILLAGE DR, MAIL CODE: 118, SAN DIEGO, CA 92161-0002
(858) 642-3687
Mailing address
3350 LA JOLLA VILLAGE DR, MAIL CODE: 118, SAN DIEGO, CA 92161-0002
(858) 642-3687
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
229639
CA
364S00000X
Clinical Nurse Specialist
Primary
604
CA
Other
Enumeration date
08/15/2006
Last updated
07/13/2007
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