| Virginia Beach Ketamine & Wellness | |
|
1856 Colonial Medical Ct Ste D Virginia Beach VA 23454-3075 | |
| (757) 751-0800 | |
| Not Available |
| Full Name | Virginia Beach Ketamine & Wellness |
|---|---|
| Speciality | Clinic/center |
| Location | 1856 Colonial Medical Ct Ste D, Virginia Beach, Virginia |
| Authorized Official Name and Position | Tricia Lee (CO-OWNER) |
| Authorized Official Contact | 7574127030 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Beach Ketamine & Wellness 1856 Colonial Medical Ct Ste D Virginia Beach VA 23454-3075 Ph: (757) 751-0800 | Virginia Beach Ketamine & Wellness 1856 Colonial Medical Ct Ste D Virginia Beach VA 23454-3075 Ph: (757) 751-0800 |
| NPI Number | 1851065676 |
|---|---|
| Provider Enumeration Date | 08/04/2021 |
| Last Update Date | 08/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851065676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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