Individual
ASHLEY BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
1130 CONROY LN, SUITE 301, ROSEVILLE, CA 95661-4156
(916) 784-6402
(916) 784-6464
Mailing address
1130 CONROY LN, SUITE 301, ROSEVILLE, CA 95661-4156
(916) 784-6402
(916) 784-6464
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
514274
CA
Other
Enumeration date
05/24/2013
Last updated
05/24/2013
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