Individual
MRS. CHRISTINE MARIE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
(800) 783-4582
Mailing address
7055 SAMUEL MORSE DR, SUITE 200, COLUMBIA, MD 21046-3439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R139525
MD
Other
Enumeration date
04/24/2007
Last updated
11/21/2012
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