NPI | 1669010351 |
---|---|
Doing Business As | ISLAND NATURAL HEALTH FOOD |
Entity Type | Organization |
Authorized Contact | RAMON ANTONIO PAGAN DE JESUS Owner 787-813-1123 |
Organization Subpart ? | No |
Primary Taxonomy | 335G00000X Medical Foods Supplier |
Enumeration Date | 2019-12-13 |
Last Update Date | 2019-12-13 |