Individual
DANIELLE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33654 COUNTY ROAD 19, VONA, CO 80861-9703
(720) 245-7088
Mailing address
33654 COUNTY ROAD 19, VONA, CO 80861-9703
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1641652
CO
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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