Organization
BLOOM WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER JONES DOM (PRESIDENT/OWNER)
(505) 400-1520
Entity
Organization
Contact information
Practice address
9798 COORS BLVD NW, BLDG C SUITE 101, ALBUQUERQUE, NM 87114-6131
(505) 639-5147
(505) 639-4153
Mailing address
9798 COORS BLVD NW, BLDG C SUITE 101, ALBUQUERQUE, NM 87114-6131
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1057
NM
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/16/2015
Last updated
09/16/2015
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