| Aloha Ketamine and Wellness LLC | |
|
720 N 530 E Orem UT 84097-4104 | |
| (385) 498-7506 | |
| Not Available |
| Full Name | Aloha Ketamine and Wellness LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 720 N 530 E, Orem, Utah |
| Authorized Official Name and Position | John Sanders (OWNER) |
| Authorized Official Contact | 3854827991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aloha Ketamine and Wellness LLC 720 N 530 E Orem UT 84097-4104 | Aloha Ketamine and Wellness LLC 720 N 530 E Orem UT 84097-4104 Ph: (385) 498-7506 |
| NPI Number | 1477309581 |
|---|---|
| Provider Enumeration Date | 04/29/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477309581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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