Individual
HEIDI L BLOOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W HIGH ST, BELLEFONTE, PA 16823-1302
(814) 353-3151
(814) 353-1876
Mailing address
206 W HIGH ST, BELLEFONTE, PA 16823-1302
(814) 353-3151
(814) 353-1876
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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