Individual
OLIVIA NILDA BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5251 E EXCHANGE WAY, NAMPA, ID 83687-5507
(208) 466-9642
(208) 466-9104
Mailing address
5251 E EXCHANGE WAY, NAMPA, ID 83687-5507
(208) 466-9642
(208) 466-9104
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8652
ID
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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