Provider Demographics
NPI:1144927229
Name:KAMELINA, SVITLANA ANATOLIVNA
Entity type:Individual
Prefix:
First Name:SVITLANA
Middle Name:ANATOLIVNA
Last Name:KAMELINA
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 1:6605 KAESTNER CT
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-1116
Mailing Address - Country:US
Mailing Address - Phone:916-410-2946
Mailing Address - Fax:
Practice Address - Street 1:6605 KAESTNER CT
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-1116
Practice Address - Country:US
Practice Address - Phone:916-410-2946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-09
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty