FRED BLOOMQUIST

BOISE, ID
NPI1396483772
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy227900000X Respiratory Therapist, Registered
(Licence: ID  LRT-713)
Enumeration Date2022-05-25
Last Update Date2022-05-25
Business Address
FRED BLOOMQUIST RRT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
Mailing Address
FRED BLOOMQUIST RRT
500 W FORT ST
BOISE, ID 83702-4501
Phone number: 208-422-1000
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