BLAKE BLOOMFIELD

WINSTON SALEM, NC
NPI1063095743
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
Additional Taxonomies106S00000X Behavior Technician
Enumeration Date2021-04-30
Last Update Date2025-03-26
Business Address
BLAKE BLOOMFIELD PA-C
4825 COMMERCIAL PLAZA ST
WINSTON SALEM, NC 27104-4732
Phone number: 810-962-3192
Mailing Address
BLAKE BLOOMFIELD PA-C
4825 COMMERCIAL PLAZA ST
WINSTON SALEM, NC 27104-4732
Phone number:
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