Organization
VIVIDLIFE KETAMINE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BE-VERLYN NAVARRO (NP)
(323) 336-1178
Entity
Organization
Contact information
Practice address
5167 CLAYTON RD STE H, CONCORD, CA 94521-3170
(323) 336-1178
Mailing address
5167 CLAYTON RD STE H, CONCORD, CA 94521-3170
(925) 489-2984
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
01/04/2024
Last updated
04/10/2025
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