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Organization

PRIDE MEDICAL SPA AND WELLNESS CENTER INC

Active
Other names
Radiance Ketamine Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GREG JONES CRNA (CLINIC ADMINISTRATOR)
(775) 432-1500
Entity
Organization

Contact information

Practice address
6380 MAE ANNE AVE, UNIT 7, RENO, NV 89523-4712
(775) 432-1500
(775) 432-1002
Mailing address
6380 MAE ANNE AVE, UNIT 7, RENO, NV 89523-4712
(775) 432-1500
(775) 432-1002

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
10/30/2019
Last updated
04/24/2024
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