NPI | 1306189683 |
---|---|
Doing Business As | WHITE POMEGRANATE, INC |
Entity Type | Organization |
Authorized Contact | TRACY SINHA-KHONA President 904-733-6487 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL ME26358) |
Enumeration Date | 2013-04-04 |
Last Update Date | 2013-10-18 |