SUNRISE KETAMINE CLINIC LLC

Nurse Anesthetist, Certified Registered

Active Organization
NPI: 1205598398

Practice Address

3555 POTOMAC WAY STE B
Idaho Falls, ID 83404

Phone: (208) 524-9080

Specialties

Specialty Code Primary License
Nurse Anesthetist, Certified Registered 367500000X Yes -

Frequently Asked Questions

NPI 1205598398 is the National Provider Identifier for SUNRISE KETAMINE CLINIC LLC, a Nurse Anesthetist, Certified Registered provider located in Idaho Falls, ID. This NPI was enumerated on October 6, 2021.

Quick Facts

NPI
1205598398
Type
Organization
Enumerated
Oct 6, 2021
Last Updated
Oct 6, 2021

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