| NPI | 1538042270 |
|---|---|
| Other Name | SACRED BLOOM |
| Doing Business As | DOMINIQUE SHIMINE GAUTHIER-DAIGLE |
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE GAUTHIER-DAIGLE Owner 424-207-9914 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QB0400X Clinic/Center, Birthing | |
| 261QC1500X Clinic/Center, Community Health | |
| 261QC1800X Clinic/Center, Corporate Health | |
| 261QH0100X Clinic/Center, Health Services | |
| Enumeration Date | 2025-07-29 |
| Last Update Date | 2025-07-29 |