Doctor Name: | DESISLAVA ZLATANOVA HITE |
NPI Number: | 1003888256 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 208D00000X |
Business Practice Address: | 315 Martin Luther King Jr Way Tacoma, WA - 984054234 |
Business Phone Number: | 2534038327 |
Business Fax Number: | |
Mailing Address: | Po Box 5215, TACOMA |
State: | WA |
Postal Code: | 984150215 |
Phone Number: | 2534038327 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2006 |
NPI Last Update Date: | 02/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 208D00000X |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |