Most Relevant Information
Provider Data
NPI Number: | 1003474651 |
Provider Name: | MICHELLE RENEE BLOOMHUFF |
Entity Type: | Individual |
Taxonomy Code: | 104100000X |
Specialty: | Social Worker |
License Number: | 095607 |
Most Important Dates
Enumeration Date: | 05/30/2019 |
Last Updated: | 10/19/2022 |
Provider Practice Location
810 MAIN ST
MUSCATINE
IA
527611848
Practice Location Phone/Fax
Phone: | 5632609280 |
Fax: |
Provider Mailing Location
15426 COUNTY ROAD G44X
LETTS
IA
527549306
Provider Mailing Phone/Fax
Phone: | 5632609280 |
Fax: |