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Individual

SERENA LYNNE KALISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C, CLC

Contact information

Practice address
1121 UNIVERSITY BLVD W APT 503, SILVER SPRING, MD 20902-3318
(516) 509-8713
Mailing address
1121 UNIVERSITY BLVD W APT 503, SILVER SPRING, MD 20902-3318
(201) 956-1363

Taxonomy

Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
ALPP-313868
363A00000X
Physician Assistant
Primary

Other

Enumeration date
06/14/2018
Last updated
04/15/2021
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