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Organization
THE WELLNESS CENTER
Active
Organization
THE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY LYNN MANGUM MSOM (LICENSED ACUPUNCTURIST/ OWNER)
(707) 487-4444
Entity
Organization
Contact information
Practice address
415 HIGHLAND AVE, SMITH RIVER, CA 95567-9519
(707) 487-4444
Mailing address
415 HIGHLAND AVE, SMITH RIVER, CA 95567-9519
(707) 487-4444
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548387616
NPPES
CA
Enumeration date
06/02/2015
Last updated
06/02/2015
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