MIRABELLE BLOSSOM
Community Health Worker
Active
Individual
NPI: 1760277800
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Health Worker | 172V00000X | Yes | - |
Frequently Asked Questions
NPI 1760277800 is the National Provider Identifier for MIRABELLE BLOSSOM, a Community Health Worker provider located in Fairbanks, AK. This NPI was enumerated on April 10, 2025.
MIRABELLE BLOSSOM practices at 3101 LATHROP ST, Fairbanks, AK 99701.
Quick Facts
- NPI
- 1760277800
- Type
- Individual
- Enumerated
- Apr 10, 2025
- Last Updated
- Apr 10, 2025
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