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Organization

PACIFIC KETAMINE AND WELLNESS, A PROFESSIONAL NURSING CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAIME JIMENEZ PMHBC (OWNER/NURSE PRACTITIONER)
(831) 824-4003
Entity
Organization

Contact information

Practice address
412 CEDAR ST STE C2, SANTA CRUZ, CA 95060-4369
(831) 824-4003
Mailing address
412 CEDAR ST STE C2, SANTA CRUZ, CA 95060-4369
(831) 824-4003

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/06/2025
Last updated
06/27/2025
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