Individual
MARSHA RENEE JESPERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6845 ELM ST #708, MCLEAN, VA 22101
(703) 893-1111
(703) 760-9565
Mailing address
6845 ELM ST #708, MCLEAN, VA 22101
(703) 893-1111
(703) 760-9565
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101233956
VA
208200000X
Plastic Surgery Physician
D74935
MD
208200000X
Plastic Surgery Physician
MD037518
DC
Other
Enumeration date
07/23/2008
Last updated
02/21/2013
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