Individual
PENNY ANN BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
188 CLEARWATER CIR, ROCHESTER, NY 14612-3081
(585) 259-5001
Mailing address
188 CLEARWATER CIR, ROCHESTER, NY 14612-3081
(585) 259-5001
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
674239
NY
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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