BETH HEATHER BLOOM

MASSAPEQUA, NY
NPI1740240068
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: NY  865058)
Enumeration Date2006-03-23
Last Update Date2007-07-08
Business Address
Mrs. BETH HEATHER BLOOM R.D.
15 N PINE ST
MASSAPEQUA, NY 11758-2455
Phone number: 516-804-6191
Mailing Address
Mrs. BETH HEATHER BLOOM R.D.
15 N PINE ST
MASSAPEQUA, NY 11758-2455
Phone number: 516-804-6191