Individual
DR. CHANDRA NICOLE KEEBLER BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 438-5077
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 438-5077
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
A131366
CA
Other
Enumeration date
06/18/2012
Last updated
01/11/2022
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