Individual
BELLA BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSR
Contact information
Practice address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 635-5298
Mailing address
8685 S EASTERN AVE, LAS VEGAS, NV 89123-2839
(702) 635-5298
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
05/29/2023
Last updated
05/31/2023
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