| 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 |