Northwest Ketamine Clinics Tacoma, Pllc
NPI #1215528732 in Tacoma, Washington
Provider Information
- NPI Number
- 1215528732
- Entity Type
- Organization
- Organization Name
- Northwest Ketamine Clinics Tacoma, Pllc
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jan 27, 2021
- Last Updated
- Jan 27, 2021
Practice Location
- Address
- 1901 S UNION AVE
- Address 2
- BUILDING B, SUITE 4001
- City
- Tacoma
- State
- Washington
- ZIP Code
- 98405
- Phone
- (206) 309-2299
Authorized Official
- Name
- ALLYN D WILCOCK, ARNP
- Title
- OWNER
- Phone
- (206) 330-6722
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner |
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