Individual
FILITA BLOOMFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6526 S MOUNT WHITNEY LN, WEST VALLEY CITY, UT 84118-9362
(801) 750-9465
Mailing address
6526 S MOUNT WHITNEY LN, WEST VALLEY CITY, UT 84118-9362
(801) 750-9465
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
80913
UT
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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