Provider Demographics
NPI:1639776461
Name:VOLOSHIN, SVETLANA A (ND)
Entity Type:Individual
Prefix:DR
First Name:SVETLANA
Middle Name:A
Last Name:VOLOSHIN
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 1:4651 TORREY CIR APT K204
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-6695
Mailing Address - Country:US
Mailing Address - Phone:503-929-6493
Mailing Address - Fax:
Practice Address - Street 1:125 N ACACIA AVE STE 108
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1177
Practice Address - Country:US
Practice Address - Phone:858-480-9874
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-05
Last Update Date:2023-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND1190175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty