KETAMINE INFUSIONS OF IDAHO

IDAHO FALLS, ID
NPI1730769142
Entity TypeOrganization
Authorized ContactCHRISTINA STUBBS
Owner
208-607-8401
Organization Subpart ?No
Primary Taxonomy261QI0500X Clinic/Center Infusion Therapy
Enumeration Date2021-04-09
Last Update Date2021-04-09
Business Address
KETAMINE INFUSIONS OF IDAHO
1582 ELK CREEK DR
IDAHO FALLS, ID 83404-8322
Phone number: 208-607-8401
Mailing Address
KETAMINE INFUSIONS OF IDAHO
PO BOX 3646
IDAHO FALLS, ID 83403-3646
Phone number: 208-607-8401
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