Healthcare Provider Details

I. General information

NPI: 1174430896
Provider Name (Legal Business Name): VIKTORIIA ZAROVNIAEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

802 TILGHMAN DR
DUNN NC
28334-5510
US

IV. Provider business mailing address

4711 LJ PKWY 8304
SUGAR LAND TX
77479
US

V. Phone/Fax

Practice location:
  • Phone: 910-766-7711
  • Fax:
Mailing address:
  • Phone: 281-795-1288
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: