| NPI | 1891368783 |
|---|---|
| Doing Business As | DESTIN KETAMINE SOLUTIONS |
| Entity Type | Organization |
| Authorized Contact | MEGAN KRISTINE BARNETT Owner 559-906-1390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2021-07-20 |