Vitasuite IV & Ketamine Therapy

NPI #1235724147 in Carroll, Iowa

Provider Information

NPI Number
1235724147
Entity Type
Organization
Organization Name
Vitasuite IV & Ketamine Therapy
Primary Specialty
Clinic/Center - Infusion Therapy
Enumeration Date
Mar 2, 2021
Last Updated
Oct 21, 2021

Practice Location

Address
509 N ADAMS ST STE 2
State
Iowa
ZIP Code
51401-2767
Phone
(712) 775-2434

Authorized Official

Name
RUTH PETROS, CRNA
Title
PART OWNER
Phone
(712) 775-2434

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Infusion TherapyInfusion Therapy

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