Provider Demographics
NPI:1548743651
Name:VOIGHT, DENISE
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:VOIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30122 NIGUEL RD APT 275
Mailing Address - Street 2:
Mailing Address - City:LAGUNA NIGUEL
Mailing Address - State:CA
Mailing Address - Zip Code:92677-5240
Mailing Address - Country:US
Mailing Address - Phone:949-485-8275
Mailing Address - Fax:
Practice Address - Street 1:30122 NIGUEL RD APT 275
Practice Address - Street 2:
Practice Address - City:LAGUNA NIGUEL
Practice Address - State:CA
Practice Address - Zip Code:92677-5240
Practice Address - Country:US
Practice Address - Phone:949-485-8275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-13
Last Update Date:2018-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist