Individual
KATRINA GRACE BLOMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4494 N PALMER RD, BETHESDA, MD 20889-0001
(320) 290-4610
Mailing address
1200 32ND AVE SW APT 205, MINOT, ND 58701-8311
(320) 290-4610
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/01/2025
Last updated
04/01/2025
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