| NPI | 1316699283 |
|---|---|
| Doing Business As | LIFE BLOOMS IV HYDRATION HEALTH & WELLNESS MOBILE BAR |
| Entity Type | Organization |
| Authorized Contact | IAISA SHIKEMA BLOOM CEO & Owner 305-785-7259 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2022-01-21 |
| Last Update Date | 2022-01-21 |