Individual
MS. TRACEY ANN BLOOMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
521 COLUMBIA AVE, UNION BEACH, NJ 07735-3107
(848) 218-2704
(732) 291-5901
Mailing address
521 COLUMBIA AVE, UNION BEACH, NJ 07735-3107
(848) 218-2704
(732) 291-5901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP04651700
NJ
Other
Enumeration date
03/22/2021
Last updated
03/22/2021
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