Organization
KESANI ESSENTIALS WELLNESS AND AESTHETICS MEDSPA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE DEASE NP (CEO/NP)
(571) 572-2303
Entity
Organization
Contact information
Practice address
6911 RICHMOND HWY STE 301A, ALEXANDRIA, VA 22306-1846
(703) 215-7957
Mailing address
6911 RICHMOND HWY STE 301A, ALEXANDRIA, VA 22306-1846
(703) 215-7957
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
11/25/2024
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