Organization
ALOHA KETAMINE AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SANDERS DO (OWNER)
(385) 482-7991
Entity
Organization
Contact information
Practice address
720 N 530 E, OREM, UT 84097-4104
(385) 498-7506
Mailing address
720 N 530 E, OREM, UT 84097-4104
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/29/2024
Last updated
04/29/2024
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