Individual
LORETTA BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 591-4543
Mailing address
366 DOUGLAS ST, UXBRIDGE, MA 01569-1111
(804) 503-7996
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN58783
MA
Other
Enumeration date
11/23/2018
Last updated
11/23/2018
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