Individual
MARYNA KAPICHYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Mailing address
5624 TRIPLETT RD, OWINGS MILLS, MD 21117-6326
(410) 504-3901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
200001288
DC
Other
Enumeration date
10/06/2021
Last updated
10/06/2021
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