Individual
ANTE MARIN MESIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11200 WAPLES MILL RD STE 100, FAIRFAX, VA 22030-7475
(703) 237-2219
Mailing address
1229 S HERMITAGE RD, HERMITAGE, PA 16148-2457
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
174400000X
Specialist
—
—
Other
Enumeration date
05/18/2016
Last updated
01/31/2020
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