Individual
JOEIMY GONZALEZ BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
188 PROVIDENCE ST, HYDE PARK, MA 02136-1861
(617) 361-2166
Mailing address
188 PROVIDENCE ST, HYDE PARK, MA 02136-1861
(617) 361-2166
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2352591
MA
Other
Enumeration date
03/04/2025
Last updated
03/11/2025
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