Organization
BLOOM IN NUTRITION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN FASSINO RDN (OWNER)
(847) 404-9978
Entity
Organization
Contact information
Practice address
5497 W STONEWOOD DR, BLOOMINGTON, IN 47403-8010
(847) 404-9978
Mailing address
5497 W STONEWOOD DR, BLOOMINGTON, IN 47403-8010
(847) 404-9978
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/05/2024
Last updated
01/05/2024
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