Individual
ABIGAIL BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
54 DOVE ST, PORTSMOUTH, RI 02871-1804
(401) 864-0133
Mailing address
54 DOVE ST, PORTSMOUTH, RI 02871-1804
(401) 864-0133
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
01358
RI
Other
Enumeration date
01/03/2024
Last updated
01/14/2024
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