Individual
MRS. DANIELLE RENEE BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
6884 MAPLE AVE., SODUS, NY 14551
(315) 483-9118
(315) 483-9432
Mailing address
57 CATHERINE ST., LYONS, NY 14489
(315) 573-6194
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
020855-1
NY
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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