Individual
ULISTA HOOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
850 MAPLE STREET, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Mailing address
P.O. BOX 800, MEDICAL LAKE, WA 99022-0800
(509) 565-4000
(509) 565-4705
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD00048539
WA
Other
Enumeration date
08/31/2006
Last updated
11/30/2015
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