TANNER BENJAMIN BLOOM

PITTSBURGH, PA
NPI1790213395
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: PA  PN298566)
Enumeration Date2017-05-25
Last Update Date2017-05-25
Business Address
Mr. TANNER BENJAMIN BLOOM LPN
645 RODI RD
PITTSBURGH, PA 15235-4564
Phone number: 412-723-2775
Mailing Address
Mr. TANNER BENJAMIN BLOOM LPN
702 CHARLES ST
HOOVERSVILLE, PA 15936-9012
Phone number: 814-798-2098
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