Organization
RENEWED WELLNESS AND KETAMINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SADIE BECHER MS, APRN-CRNA (MEMBER/OWNER)
(701) 866-6041
Entity
Organization
Contact information
Practice address
3441 45TH ST S, FARGO, ND 58104-8970
(701) 526-6960
Mailing address
3441 45TH ST S, FARGO, ND 58104-8970
(701) 526-6960
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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