REVITALIZE KETAMINE CLINIC LLC is a multi-specialty clinic center in Flagstaff, AZ. REVITALIZE KETAMINE CLINIC LLC NPI is 1346911195. The provider is registered as an organization entity type.
The provider's business location address is:
1800 S MILTON RD STE 26
FLAGSTAFF, AZ
ZIP 86001-340
Phone: (928) 213-6931
The provider's authorized official is Jill Michelle Dubravcic .
The authorized official title is Owner/operator and has the following contact phone number (928) 213-6931.
The enumeration date for this NPI number is 9/22/2021 and was last updated on 9/22/2021.