RANDY BLOOM

RANCHO MIRAGE, CA
NPI1265086854
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  95012312)
Enumeration Date2019-07-31
Last Update Date2020-01-23
Business Address
RANDY BLOOM FNP-BC
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-773-2882
Mailing Address
RANDY BLOOM FNP-BC
39000 BOB HOPE DR
RANCHO MIRAGE, CA 92270-3221
Phone number: 760-773-2882