Individual
KRISTIN ANNE BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
290 BRINKBY AVE, RENO, NV 89509-4348
(775) 825-0285
Mailing address
3385 CANVASBACK LN, RENO, NV 89508-8457
(775) 229-6467
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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