Organization
VIRGINIA BEACH KETAMINE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA LEE CRNA, NP (CO-OWNER)
(757) 412-7030
Entity
Organization
Contact information
Practice address
1856 COLONIAL MEDICAL CT STE D, VIRGINIA BEACH, VA 23454-3075
(757) 751-0800
Mailing address
1856 COLONIAL MEDICAL CT STE D, VIRGINIA BEACH, VA 23454-3075
(757) 751-0800
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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