KENNETH J BLOOM
Medical Practice at Saint Andrews Dr, Poway, CA

License number
Florida 114518
Issued Date
Nov 1, 2012
Effective Date
Nov 1, 2012
Expiration Date
Jan 31, 2019
Category
Health Care
Type
Medical Doctor
Address
Address 2
17543 Saint Andrews Dr, Poway, CA 92064
4570 Executive Dr, San Diego, CA 92121
Phone
(949) 201-5972
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

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