Organization
CENTRAL CALIFORNIA WELLNESS & RESTORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROCKI COHEN (VICE-PRESIDENT)
(209) 595-1408
Entity
Organization
Contact information
Practice address
2004 MCHENRY AVE, MODESTO, CA 95350-3260
(209) 337-3377
(209) 729-5353
Mailing address
2004 MCHENRY AVE, MODESTO, CA 95350-3260
(209) 337-3377
(209) 729-5353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G076763
CA
Other
Enumeration date
06/07/2017
Last updated
07/21/2022
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