| NPI | 1912418252 |
|---|---|
| Doing Business As | BLOOM |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE ELIZABETH LOUDEN Manager 860-310-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 175F00000X Naturopath |
| Enumeration Date | 2017-10-13 |
| Last Update Date | 2018-05-02 |