Individual
DR. DEBORA SHALEEN POTALIVO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
607 DONNA WAY, SAN JACINTO, CA 92583-5517
(951) 654-0803
(951) 654-9053
Mailing address
607 DONNA WAY, SAN JACINTO, CA 92583-5517
(951) 654-0803
(951) 654-9053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC24602
CA
Other
Enumeration date
07/22/2005
Last updated
07/08/2007
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