Individual
DR. NITA VIVATRAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, W3.5, 600, WASHINGTON, DC 20010-2916
(202) 476-3670
Mailing address
215 BELLO ST, BARRIGADA, GU 96913-1414
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0101247030
VA
Other
Enumeration date
05/20/2008
Last updated
04/13/2023
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