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, MS, BSN (CLINIC DIRECTOR)
(775) 217-0332
Entity
Organization
Contact information
Practice address
5365 MAE ANNE AVE STE A10, RENO, NV 89523-1841
(775) 432-1500
(775) 432-1002
Mailing address
5365 MAE ANNE AVE STE A10, RENO, NV 89523-1841
(775) 432-1500
(775) 432-1002
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
08/27/2020
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