Central California Wellness & Restoration | |
2004 Mchenry Ave Modesto CA 95350-3260 | |
(209) 337-3377 | |
(209) 729-5353 |
Full Name | Central California Wellness & Restoration |
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Speciality | Family Medicine |
Location | 2004 Mchenry Ave, Modesto, California |
Authorized Official Name and Position | Rocki Cohen (VICE-PRESIDENT) |
Authorized Official Contact | 2095951408 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central California Wellness & Restoration 2004 Mchenry Ave Modesto CA 95350-3260 Ph: (209) 337-3377 | Central California Wellness & Restoration 2004 Mchenry Ave Modesto CA 95350-3260 Ph: (209) 337-3377 |
NPI Number | 1437688009 |
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Provider Enumeration Date | 06/07/2017 |
Last Update Date | 07/21/2022 |
Identifier | Type | State | Issuer |
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1437688009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | G076763 (California) | Primary |
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