Organization
CORDILLERA WELLNESS COLLECTIVE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOCELYN A JARICK PA-C (PROVIDER / MANAGER)
(484) 280-8349
Entity
Organization
Contact information
Practice address
2455 JEFFERSON BLVD STE 100, WEST SACRAMENTO, CA 95691-5329
(484) 280-8349
Mailing address
3324 SAN SALVADOR ST, WEST SACRAMENTO, CA 95691-5925
(484) 280-8349
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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