Provider Demographics
NPI:1316313273
Name:FOLI, DEBRA (RND)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:
Last Name:FOLI
Suffix:
Gender:F
Credentials:RND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:FALLBROOK
Mailing Address - State:CA
Mailing Address - Zip Code:92028-2926
Mailing Address - Country:US
Mailing Address - Phone:760-752-6170
Mailing Address - Fax:760-723-6936
Practice Address - Street 1:210 S VINE ST
Practice Address - Street 2:
Practice Address - City:FALLBROOK
Practice Address - State:CA
Practice Address - Zip Code:92028-2926
Practice Address - Country:US
Practice Address - Phone:760-752-6170
Practice Address - Fax:760-723-6936
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-14
Last Update Date:2015-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRND20000425175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath