Individual
GLENDA BLOEMHOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8022 HOLDER ST, BUENA PARK, CA 90620-2932
(562) 209-1969
Mailing address
8022 HOLDER ST, BUENA PARK, CA 90620-2932
(562) 209-1969
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
753468
CA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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