Individual
MARINA KESSENICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD, HCHD
Contact information
Practice address
12253 PENDER CREEK CIR APT B, FAIRFAX, VA 22033-3930
(571) 501-4026
Mailing address
12253 PENDER CREEK CIR APT B, FAIRFAX, VA 22033-3930
(571) 501-4026
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
07/17/2015
Last updated
07/17/2015
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