Individual
BRIANNA BLOOMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
43 JEFFERSON BLVD, WARWICK, RI 02888-1027
(401) 941-2830
(401) 941-6886
Mailing address
DEPT 3010, PO BOX 986524, BOSTON, MA 02298-6524
(833) 924-5546
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01653
RI
Other
Enumeration date
09/07/2023
Last updated
04/02/2025
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