Individual
JENNA BLOEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
311 W GLENN AVE, AUBURN, AL 36830-1401
(256) 431-5763
Mailing address
311 W GLENN AVE, AUBURN, AL 36830-1401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
S10710
AL
Other
Enumeration date
03/28/2015
Last updated
06/21/2015
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