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Organization
PACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Active
Organization
PACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME JIMENEZ PMHBC (OWNER/NURSE PRACTITIONER)
(831) 824-4003
Entity
Organization
Contact information
Practice address
412 CEDAR ST STE C2, SANTA CRUZ, CA 95060-4369
(831) 824-4003
Mailing address
412 CEDAR ST STE C2, SANTA CRUZ, CA 95060-4369
(831) 824-4003
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
02/06/2025
Last updated
06/27/2025
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