ILENE S BLOOM

ANNAPOLIS, MD
NPI1790851996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: MD  C01316)
Enumeration Date2006-11-28
Last Update Date2014-08-13
Business Address
Ms. ILENE S BLOOM PAC
116 DEFENSE HWY SUITE 400
ANNAPOLIS, MD 21401-7027
Phone number: 410-897-9841
Mailing Address
Ms. ILENE S BLOOM PAC
116 DEFENSE HWY SUITE 400
ANNAPOLIS, MD 21401-7027
Phone number: 410-897-9841
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