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Individual

MRS. MARIELLE ISENBERG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8401 GREENSBORO DR STE 120, MC LEAN, VA 22102-5101
(301) 530-1010
(301) 897-8597
Mailing address
10215 FERNWOOD RD STE 506, BETHESDA, MD 20817-1184
(301) 530-1010

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
050702076
VA

Other

Enumeration date
04/28/2011
Last updated
10/05/2023
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