Individual
LAUARA BLOOMENSAAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 W MICHIGAN AVE STE 320, YPSILANTI, MI 48197-5450
(734) 480-0011
(734) 480-0011
Mailing address
301 W MICHIGAN AVE STE 320, YPSILANTI, MI 48197-5450
(734) 480-0011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704100279
MI
Other
Enumeration date
01/17/2018
Last updated
01/17/2018
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