ANITA AMANDA BLOOMINGBURG

PHOENIX, IL
NPI1407417199
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2019-06-24
Last Update Date2022-07-21
Business Address
ANITA AMANDA BLOOMINGBURG CNA
829 E 153RD ST
PHOENIX, IL 60426-2554
Phone number: 815-764-6631
Mailing Address
ANITA AMANDA BLOOMINGBURG CNA
5039 W 18TH ST APT 17
CICERO, IL 60804-1962
Phone number: