IRIS KETAMINE & INFUSIONS, LLC

FORT WAYNE, IN
NPI1598533986
Entity TypeOrganization
Authorized ContactSEAN GODDARD
Owner
866-218-5620
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2023-12-14
Last Update Date2023-12-14
Business Address
IRIS KETAMINE & INFUSIONS, LLC
9025 COLDWATER RD STE 200
FORT WAYNE, IN 46825-2097
Phone number: 866-218-5620
Mailing Address
IRIS KETAMINE & INFUSIONS, LLC
9025 COLDWATER RD STE 200
FORT WAYNE, IN 46825-2097
Phone number: 866-218-5620
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