Individual
JENNIFER BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1310 SEVEN SPRINGS BLVD, NEW PORT RICHEY, FL 34655-5643
(727) 372-9500
Mailing address
4419 BLACK FOX DR, NEW PORT RICHEY, FL 34653-6509
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA 26229
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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