Individual
JOAN MARIE BLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Contact information
Practice address
1 EDMUNDSON PL, SUITE 100, COUNCIL BLUFFS, IA 51503-4658
(712) 322-4136
(712) 322-8129
Mailing address
1 EDMUNDSON PL, SUITE 100, COUNCIL BLUFFS, IA 51503-4658
(712) 322-4136
(712) 322-8129
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A065359
IA
Other
Enumeration date
04/18/2007
Last updated
07/08/2007
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