Provider Demographics
NPI:1184063307
Name:HESTER, ZETTA MARIANA (MD)
Entity type:Individual
Prefix:DR
First Name:ZETTA
Middle Name:MARIANA
Last Name:HESTER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ZETTA
Other - Middle Name:MARIANA
Other - Last Name:FAYOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5911 KINGSTOWNE VILLAGE PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22315-4645
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5911 KINGSTOWNE VILLAGE PKWY STE 100
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22315-4645
Practice Address - Country:US
Practice Address - Phone:571-449-2555
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-20
Last Update Date:2020-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101265186207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology