Individual
AMY LEE BLOOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9501 39TH ST SW, TAYLOR, ND 58656-9763
(651) 592-0211
Mailing address
3961 95 AVE SW, TAYLOR, ND 58656
(651) 592-0211
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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