NPI | 1043073588 |
---|---|
Former Legal Business Name | WASHINGTON KETAMINE AND WELLNESS |
Entity Type | Organization |
Authorized Contact | BELETSHACHEW GIRMA Co Owner 267-259-1182 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Enumeration Date | 2024-02-06 |
Last Update Date | 2024-02-06 |