TANYA THERESA IVEY-BLOOM

BALTIMORE, MD
NPI1083171284
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MD  R185746)
Enumeration Date2019-02-23
Last Update Date2019-10-20
Business Address
TANYA THERESA IVEY-BLOOM CRNP
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-7531
Mailing Address
TANYA THERESA IVEY-BLOOM CRNP
600 N WOLFE ST
BALTIMORE, MD 21287-0005
Phone number: 410-955-7531
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