Individual
ERICA HART BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
93 HUMAN SERVICES RD, CLINTON, SC 29325-7546
(864) 833-0000
Mailing address
93 HUMAN SERVICES RD, CLINTON, SC 29325-7546
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P48932
SC
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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