Individual
BLOSSOM BALFOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18 PAERDEGAT 7TH ST, BROOKLYN, NY 11236-4106
(718) 763-5194
Mailing address
18 PAERDEGAT 7TH ST, BROOKLYN, NY 11236-4106
(718) 763-5194
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
4285131
NY
Other
Enumeration date
06/30/2010
Last updated
06/30/2010
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