Provider Demographics
NPI:1598031585
Name:HEREDIA, FRANCISCO (ND, NBC-HWC)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:
Last Name:HEREDIA
Suffix:
Gender:M
Credentials:ND, NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26500 VERAMONTE AVE
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-6510
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26500 VERAMONTE AVE
Practice Address - Street 2:
Practice Address - City:MURRIETA
Practice Address - State:CA
Practice Address - Zip Code:92562-6510
Practice Address - Country:US
Practice Address - Phone:949-763-9575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-24
Last Update Date:2024-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1259175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No175F00000XOther Service ProvidersNaturopath