SAMANTHA J VANDER BLOOMEN

LA CROSSE, WI
NPI1275969420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: WI  2658)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: IL  164.006887)
Enumeration Date2013-09-19
Last Update Date2023-01-05
Business Address
SAMANTHA J VANDER BLOOMEN RD
700 WEST AVE S
LA CROSSE, WI 54601-8806
Phone number: 608-758-0940
Mailing Address
SAMANTHA J VANDER BLOOMEN RD
200 1ST ST SW
ROCHESTER, MN 55905-0001
Phone number: 608-785-0940