NORTHWEST KETAMINE CLINICS TACOMA, PLLC

TACOMA, WA
NPI1215528732
Entity TypeOrganization
Authorized ContactALLYN D WILCOCK
Owner
206-330-6722
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
NORTHWEST KETAMINE CLINICS TACOMA, PLLC
1901 S UNION AVE BUILDING B, SUITE 4001
TACOMA, WA 98405
Phone number: 206-309-2299
Mailing Address
NORTHWEST KETAMINE CLINICS TACOMA, PLLC
35302 SE CENTER ST
SNOQUALMIE, WA 98065-9216
Phone number: 206-330-6722
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