Individual
VIKA GOLOVANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4075 HIGHWAY 78, SANTA YSABEL, CA 92070-9778
(858) 692-3994
Mailing address
4075 HIGHWAY 78, SANTA YSABEL, CA 92070-9778
(858) 692-3994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/21/2026
Last updated
07/22/2026
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