Provider Demographics
NPI:1003212275
Name:FARBER, RACHEL (LAC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:FARBER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 MISSION ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3748
Mailing Address - Country:US
Mailing Address - Phone:831-515-2354
Mailing Address - Fax:
Practice Address - Street 1:406 MISSION ST
Practice Address - Street 2:SUITE E
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-3748
Practice Address - Country:US
Practice Address - Phone:831-515-2354
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-14
Last Update Date:2014-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC6901171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist