Organization
THE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODY L MANGUM MSOM, D.AC., L.AC. (OWNER)
(707) 487-4444
Entity
Organization
Contact information
Practice address
625 F ST STE A, CRESCENT CITY, CA 95531-3732
(707) 487-4444
Mailing address
361 9TH ST, CRESCENT CITY, CA 95531-3433
(707) 487-4444
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AC7529
CA
Other
Enumeration date
08/22/2015
Last updated
08/22/2015
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