PRESTIGE KETAMINE PC

RIGBY, ID
NPI1588353999
Entity TypeOrganization
Authorized ContactLEVI HANSEN
CEO
208-705-9800
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center, Infusion Therapy
Enumeration Date2023-05-02
Last Update Date2023-05-02
Business Address
PRESTIGE KETAMINE PC
3749 E 343 N
RIGBY, ID 83442-5326
Phone number: 208-705-9800
Mailing Address
PRESTIGE KETAMINE PC
3749 E 343 N
RIGBY, ID 83442-5326
Phone number: 208-705-9800
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