Individual
MRS. PAULA JEAN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN IBCLC RLC
Contact information
Practice address
825 NE 10TH ST # 3300, OKLAHOMA CITY, OK 73104-5417
(405) 271-9494
(405) 271-3727
Mailing address
6621 SANDLEWOOD DR, OKLAHOMA CITY, OK 73132-3963
(405) 464-7108
(405) 271-6454
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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