Organization
BLOOM NUTRITION SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALEXANDRA NICOLETTE RD, CDN (REGISTERED DIETITIAN NUTRITIONIST)
(315) 351-2622
Entity
Organization
Contact information
Practice address
40 OXFORD RD STE 7, NEW HARTFORD, NY 13413-2663
(315) 351-2622
(315) 215-2920
Mailing address
40 OXFORD RD STE 7, NEW HARTFORD, NY 13413-2663
(315) 351-2622
(315) 215-2920
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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