NPI | 1225857956 |
---|---|
Other Name | KETAMINE INFUSION AND WELLNESS SPECIALISTS |
Entity Type | Organization |
Authorized Contact | ANGELA PENNELL President 970-778-3753 |
Organization Subpart ? | No |
Primary Taxonomy | 207L00000X Anesthesiology |
Enumeration Date | 2024-10-09 |
Last Update Date | 2024-10-09 |