| Avecinia Wellness Center | |
|
2006 Shaw Ave Clovis CA 93611-4192 | |
| (559) 324-9900 | |
| (559) 324-9902 |
| Full Name | Avecinia Wellness Center |
|---|---|
| Speciality | Internal Medicine |
| Location | 2006 Shaw Ave, Clovis, California |
| Authorized Official Name and Position | Colette Vaquilar (INSURANCE SPECIALIST) |
| Authorized Official Contact | 5593234990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Avecinia Wellness Center 2006 Shaw Ave Clovis CA 93611-4192 Ph: (559) 324-9900 | Avecinia Wellness Center 2006 Shaw Ave Clovis CA 93611-4192 Ph: (559) 324-9900 |
| NPI Number | 1164890083 |
|---|---|
| Provider Enumeration Date | 09/09/2015 |
| Last Update Date | 09/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164890083 | NPI | - | NPPES |
| CA140163 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | C54515 (California) | Primary |
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