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Individual

DINA TITOVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
11311 BRIDGEPORT WAY SW, SUITE 214, LAKEWOOD, WA 98499-3071
(253) 985-6490
Mailing address
11311 BRIDGEPORT WAY SW, SUITE 214, LAKEWOOD, WA 98499-3071
(253) 985-6490

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
MD00048351
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
222634
STATE L&I
WA
01
222635
STATE L&I
WA
Enumeration date
01/04/2007
Last updated
04/06/2011
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