| 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 |