Organization
KETAMINE WELLNESS CENTERS LAS VEGAS
Active
Parent organization
KETAMINE WELLNESS CENTERS ARIZONA LLC
Other names
Ketamine Wellness Centers
Organization subpart
Yes
Provider details
NPI number
Legal business name
KETAMINE WELLNESS CENTERS ARIZONA LLC
Authorized official
ANITA JERGER (EXECUTIVE ASSISTANT)
(855) 538-9355
Entity
Organization
Contact information
Practice address
7375 S PECOS RD STE 102, LAS VEGAS, NV 89120-3773
(480) 788-8539
(844) 538-9355
Mailing address
113 W HOOVER AVE STE 101, MESA, AZ 85210-5214
(480) 788-8539
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/12/2021
Last updated
03/12/2021
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