person
Conor Davitt Bloomer
Student in an Organized Health Care Education/Training Program in Providence, Rhode Island
NPI 1295438414

Conor Davitt Bloomer is a Student in an Organized Health Care Education/Training Program based in Urbana, RI. Conor Davitt Bloomer practices in Providence, RI. The NPI Number for Conor Davitt Bloomer is 1295438414 and holds a License No. (Rhode Island).

The current practice location address for Conor Davitt Bloomer is 593 Eddy St, Providence, RI and can be reached out via phone at 401-793-2695 and via fax at 401-444-4165.

Location: 593 Eddy St, Providence, RI, 61801-3618
person
Provider Profile Details
NPI Number
1295438414
Provider Name
Conor Davitt Bloomer
Credential
Provider Entity Type
Individual
Gender
Male
Address
593 Eddy St, Providence, RI, 61801-3618
Phone Number
401-793-2695
Fax Number
401-444-4165
Provider Enumeration Date
03/24/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-793-2695
Fax Number
401-444-4165
person
Provider Business Mailing Address Details
Address
593 Eddy St
City
State
Zip
02903-4923
Phone Number
401-793-2695
Fax Number
401-444-4165
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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