Organization
GOLDEN KETAMINE AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NDIPETTA SYLVIA EGBE (DIRECTOR)
(713) 965-7592
Entity
Organization
Contact information
Practice address
20310 PEBBLE HOLW, RICHMOND, TX 77407-4182
(713) 965-7592
Mailing address
20310 PEBBLE HOLW, RICHMOND, TX 77407-4182
(713) 965-7592
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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