Individual
MS. JAMEKA DANIELLE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25595 HIGHLAND RD, RICHMOND HEIGHTS, OH 44143-2522
(419) 571-0028
Mailing address
25595 HIGHLAND RD, RICHMOND HEIGHTS, OH 44143-2522
(419) 571-0028
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.149066.MEDS-IV
OH
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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