Provider Demographics
NPI:1952655300
Name:GARCIA, CLARE MAYRICK (ND)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:MAYRICK
Last Name:GARCIA
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 VALLE VISTA AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-1919
Mailing Address - Country:US
Mailing Address - Phone:510-410-1087
Mailing Address - Fax:
Practice Address - Street 1:7063 COMMERCE CIR STE G
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8013
Practice Address - Country:US
Practice Address - Phone:510-410-1087
Practice Address - Fax:925-558-4477
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-78175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath