Individual
FAYTH BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40404 CALIFORNIA OAKS RD STE A, MURRIETA, CA 92562-5786
(951) 304-0200
Mailing address
26013 ATHERTON AVE, LAGUNA HILLS, CA 92653-6263
(312) 404-1863
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
95000554
CA
Other
Enumeration date
02/21/2014
Last updated
07/21/2022
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