NPI | 1043093396 |
---|---|
Doing Business As | HER GARDEN BLOOMS |
Entity Type | Organization |
Authorized Contact | LATIA HICKERSON CEO 386-747-5511 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-08-18 |
Last Update Date | 2023-08-18 |