Organization
COMMUNITY VIRTUAL WELLNESS
Active
Organization
COMMUNITY VIRTUAL WELLNESS
Active
Other names
Community Virtual Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE JONES-WICKS PHYSICIAN ASSOCIATE (OWNER)
(404) 790-0911
Entity
Organization
Contact information
Practice address
1208 CORRAL CREEK AVE APT 4, PASO ROBLES, CA 93446-5013
(404) 790-0911
Mailing address
1241 JOHNSON AVE # 316, SAN LUIS OBISPO, CA 93401-3306
(404) 790-0911
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2024
Last updated
02/25/2025
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