Provider Demographics
NPI:1093543068
Name:ZAKHAROVA, VIKTORIYA (HEALTH COACH)
Entity type:Individual
Prefix:
First Name:VIKTORIYA
Middle Name:
Last Name:ZAKHAROVA
Suffix:
Gender:F
Credentials:HEALTH COACH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5234 COLMAN RANCH RD
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-8826
Mailing Address - Country:US
Mailing Address - Phone:415-505-8900
Mailing Address - Fax:
Practice Address - Street 1:5234 COLMAN RANCH RD
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-8826
Practice Address - Country:US
Practice Address - Phone:415-505-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-22
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach