| NPI | 1730835042 |
|---|---|
| Doing Business As | THE KETAMINE CLINIC OF SEATTLE |
| Entity Type | Organization |
| Authorized Contact | JULIE ANNE CHINNOCK Onwer 206-429-5029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2022-02-24 |
| Last Update Date | 2022-02-24 |