Individual
KRISTA DAWN BLOME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
500 NORTH UNION STREET, MIDDLETOWN, MA 17057-1950
(717) 944-2225
(717) 944-0932
Mailing address
500 NORTH UNION STREET, MIDDLETOWN, MA 17057-1950
(717) 944-2225
(717) 944-0932
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC009356
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700023
HIGHMARK
PA
01
—
50049005
CBC
PA
Enumeration date
03/01/2006
Last updated
07/08/2007
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