| Renewed Wellness And Ketamine Clinic | |
|
3441 45th St S Fargo ND 58104-8970 | |
| (701) 526-6960 | |
| Not Available |
| Full Name | Renewed Wellness And Ketamine Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 3441 45th St S, Fargo, North Dakota |
| Authorized Official Name and Position | Sadie Becher (MEMBER/OWNER) |
| Authorized Official Contact | 7018666041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewed Wellness And Ketamine Clinic 3441 45th St S Fargo ND 58104-8970 Ph: (701) 526-6960 | Renewed Wellness And Ketamine Clinic 3441 45th St S Fargo ND 58104-8970 Ph: (701) 526-6960 |
| NPI Number | 1518556075 |
|---|---|
| Provider Enumeration Date | 01/11/2021 |
| Last Update Date | 01/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518556075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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