Individual
MICHELE BLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
555 CEDAR ST, SAINT PAUL, MN 55101-2209
(651) 266-1238
Mailing address
555 CEDAR ST, SAINT PAUL, MN 55101-2209
(651) 266-1238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R-145688-6
MN
Other
Enumeration date
08/12/2015
Last updated
11/02/2015
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