Individual
MR. DEILYS ADRIAN FORNARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
408 E PINE ST, LODI, CA 95240-2923
(209) 683-8632
Mailing address
223 S PLEASANT AVE APT 6, LODI, CA 95240-3510
(209) 683-8632
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
04/23/2025
Last updated
06/17/2025
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