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Individual

MS. ELLEN E BLOOM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMP

Contact information

Practice address
3417 EVANSTON AVE N, SUITE 526, SEATTLE, WA 98103-8626
(206) 323-8929
Mailing address
3417 EVANSTON AVE N, SUITE 526, SEATTLE, WA 98103-8626
(206) 323-8929

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA00014394
WA

Other

Enumeration date
06/04/2009
Last updated
06/25/2015
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