Individual
FARINAZ TAVAKOLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1153 LINCOLN AVE STE E, SAN JOSE, CA 95125-3009
(408) 993-9811
(408) 993-9804
Mailing address
1153 LINCOLN AVE STE E, SAN JOSE, CA 95125-3009
(408) 993-9811
(408) 993-9804
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29766
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DC29766
LICENSE NUMBER
CA
Enumeration date
08/03/2006
Last updated
07/08/2007
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