ANITA AMANDA BLOOMINGBURG CNA
Individual Provider (NPI-1)
Active
Nurse's Aide
Provider Information
- NPI Number
1407417199- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CNA
- Status
- Active
Contact & Location
- Address
- 829 E 153RD ST, PHOENIX, IL, 604262554
- Phone
- (815) 764-6631
Specialties & Taxonomies
Nurse's Aide
Primary License: IL
All Addresses
MAILING
5039 W 18TH ST APT 17
CICERO, IL, 608041962