Provider Demographics
NPI:1477007268
Name:FOLSOM, TONI
Entity Type:Individual
Prefix:
First Name:TONI
Middle Name:
Last Name:FOLSOM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 LEONA ST
Mailing Address - Street 2:APT 104
Mailing Address - City:VASSAR
Mailing Address - State:MI
Mailing Address - Zip Code:48768-1581
Mailing Address - Country:US
Mailing Address - Phone:989-971-9329
Mailing Address - Fax:
Practice Address - Street 1:250 LEONA ST
Practice Address - Street 2:APT 104
Practice Address - City:VASSAR
Practice Address - State:MI
Practice Address - Zip Code:48768-1581
Practice Address - Country:US
Practice Address - Phone:989-971-9329
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-09
Last Update Date:2016-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other