SHANNON MALIA BLOOMFIELD

SALT LAKE CITY, UT
NPI1134916919
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2025-04-23
Last Update Date2025-04-23
Business Address
SHANNON MALIA BLOOMFIELD
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257
Mailing Address
SHANNON MALIA BLOOMFIELD
117 W 400 S
SALT LAKE CITY, UT 84101-1916
Phone number: 801-428-4257