| NPI | 1407367717 |
|---|---|
| Doing Business As | HEALTH BLOOMS WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LYNDA K ENKOFF Owner 918-208-8937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-10-14 |
| Last Update Date | 2017-10-14 |