Individual
MS. CARMEN LYNN BLOOMFIELD-MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
24160 NE STATE ROUTE 3, BELFAIR, WA 98528-9626
(360) 205-3085
(360) 275-2007
Mailing address
PO BOX 1300, 24160 NE SR-3, BELFAIR, WA 98528-1300
(360) 205-3085
(360) 275-2007
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA60161698
WA
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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