| 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 |