Individual
MARY BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNOR, CNIM
Contact information
Practice address
11121 SUN CENTER DR, SUITE G, RANCHO CORDOVA, CA 95670-6161
(916) 631-0112
(916) 631-1652
Mailing address
11121 SUN CENTER DR, SUITE G, RANCHO CORDOVA, CA 95670-6161
(916) 631-0112
(916) 631-1652
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
459323
CA
163WM0705X
Medical-Surgical Registered Nurse
Primary
041813
CA
247200000X
Other Technician
525
CA
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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