Camille Lehua Bloom PA-C

NPI 1558670588 - Physician Assistant - 363A00000X

NPI Details
NPI 1558670588
Gender Female
Enumeration Date 09/24/2010
Last Updated 06/06/2016
Entity Type Individual
Active Over 6 years ago
Practice Location
725 WELCH RD
PALO ALTO CA, 94304-1601, US
Phone (650) 497-8000
Fax
Business Location
1804 EMBARCADERO RD
STE 100
PALO ALTO CA, 94303-3341, US
Phone
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Arizona
License Number 4714
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According to our database, Camille Lehua Bloom PA-C NPI is 1558670588, taxonomy code is 363A00000X and license number is 4714, license state is located at Arizona. Camille Lehua Bloom PA-C physically located at 725 Welch Rd, Palo Alto CA, 94304-1601. NPI Number Camille Lehua Bloom PA-C has the Individual type.

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1558670588 NPI number is provided on an as is basis without warranty of any kind. 1558670588 is maintained by the National Plan & Provider Enumeration System. The contents of Camille Lehua Bloom PA-C are for informational purposes only.