Provider Demographics
NPI:1245653138
Name:FOUCTEAU-RECTOR, ANNE-CAROLE (DC)
Entity type:Individual
Prefix:DR
First Name:ANNE-CAROLE
Middle Name:
Last Name:FOUCTEAU-RECTOR
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1252 AIRPORT PARK BLVD STE C5
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-5979
Mailing Address - Country:US
Mailing Address - Phone:707-462-9448
Mailing Address - Fax:707-462-9456
Practice Address - Street 1:1252 AIRPORT PARK BLVD STE C5
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5979
Practice Address - Country:US
Practice Address - Phone:707-462-9448
Practice Address - Fax:707-462-9456
Is Sole Proprietor?:No
Enumeration Date:2014-01-28
Last Update Date:2014-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC31593111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor