Individual
HANNAH BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1132 E GRAND RIVER AVE, PORTLAND, MI 48875-1626
(517) 896-1131
Mailing address
PO BOX 27406, LANSING, MI 48909-7406
(517) 896-1131
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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