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Individual

VIKTORIYA GOLOVATSCKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213
(323) 993-7500
Mailing address
1625 SCHRADER BLVD, LOS ANGELES, CA 90028-6213

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
95012058
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95012058
CA

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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