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Contact Information

MARY BLOOMER, RN, CNOR, CNIM
11121 SUN CENTER DR
SUITE G
RANCHO CORDOVA, CA95670-6161
 Phone: 916-631-0112
 Fax: 916-631-1652
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical-Surgical

163WM0705X
 

Registered Nurse

163W00000X
 

Technician, Other

247200000X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for MARY BLOOMER · (Female)

NPI # 1184846362
Status Active
Credentials RN, CNOR, CNIM
Entity Individual
Enumeration date 05/03/2007
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 041813
  • CA License # 459323
  • CA License # 525
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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