NICOLE KRISTEN BLOOM

SPARKS, NV
NPI1477309748
Other NameNICOLE BLOOM FREITAS-OSOFSKY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2024-04-27
Last Update Date2024-04-27
Business Address
NICOLE KRISTEN BLOOM PA-C
6132 BEARCAT DR
SPARKS, NV 89436-9370
Phone number: 415-827-1710
Mailing Address
NICOLE KRISTEN BLOOM PA-C
6132 BEARCAT DR
SPARKS, NV 89436-9370
Phone number: 415-827-1710