| NPI | 1861036063 |
|---|---|
| Doing Business As | RADIANCE KETAMINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | GREG JONES Clinic Administrator 775-432-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2024-04-24 |