Provider Demographics
NPI:1194116509
Name:GARFOLA, VICKI (DC)
Entity type:Individual
Prefix:
First Name:VICKI
Middle Name:
Last Name:GARFOLA
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 1:35 GELDERT DR
Mailing Address - Street 2:
Mailing Address - City:TIBURON
Mailing Address - State:CA
Mailing Address - Zip Code:94920-1406
Mailing Address - Country:US
Mailing Address - Phone:628-236-7587
Mailing Address - Fax:415-892-7509
Practice Address - Street 1:45 SAN CLEMENTE DR STE D230
Practice Address - Street 2:
Practice Address - City:CORTE MADERA
Practice Address - State:CA
Practice Address - Zip Code:94925-1296
Practice Address - Country:US
Practice Address - Phone:415-496-9303
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-07
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33175111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor