Organization
KETAMINE WELLNESS INFUSIONS PA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL GABAY (MEDICAL DIRECTOR)
(484) 434-8963
Entity
Organization
Contact information
Practice address
146 MONTGOMERY AVE STE 202, BALA CYNWYD, PA 19004-2956
(484) 434-9633
Mailing address
146 MONTGOMERY AVE STE 202, BALA CYNWYD, PA 19004-2956
(484) 434-8963
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
01/30/2024
Last updated
03/12/2024
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