Individual
JANE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHDRNCS
Contact information
Practice address
95 GOLDEN HILL, LEE, MA 01238-9132
(413) 243-3336
Mailing address
95 GOLDEN HILL, LEE, MA 01238-9132
(413) 243-3336
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
RN100531
MA
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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