SUNRISE KETAMINE CLINIC LLC

IDAHO FALLS, ID
NPI1205598398
Entity TypeOrganization
Authorized ContactBRYAN TODD MERKLEY
Owner
208-520-0527
Organization Subpart ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2021-10-06
Last Update Date2021-10-06
Business Address
SUNRISE KETAMINE CLINIC LLC
3555 POTOMAC WAY STE B
IDAHO FALLS, ID 83404-4985
Phone number: 208-524-9080
Mailing Address
SUNRISE KETAMINE CLINIC LLC
3555 POTOMAC WAY STE B
IDAHO FALLS, ID 83404-4985
Phone number: 208-524-9080
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