REVITALIZE KETAMINE CLINIC LLC
Clinic/Center - Multi-Specialty
Active
Organization
NPI: 1346911195
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Clinic/Center - Multi-Specialty | 261QM1300X | Yes | - |
Frequently Asked Questions
NPI 1346911195 is the National Provider Identifier for REVITALIZE KETAMINE CLINIC LLC, a Clinic/Center - Multi-Specialty provider located in Flagstaff, AZ. This NPI was enumerated on September 22, 2021.
Quick Facts
- NPI
- 1346911195
- Type
- Organization
- Enumerated
- Sep 22, 2021
- Last Updated
- Sep 22, 2021
Nearby Providers
-
KAREN HOLDER, FNPC
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YURI LEWICKY, M.D.
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WYATT WOODARD, MSN, FNP
Nurse Practitioner - Family