Individual
MS. MARIESA KINCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
12070 OLD LINE CTR, STE 207, WALDORF, MD 20602-2567
(301) 870-0660
(301) 932-8310
Mailing address
12070 OLD LINE CTR, STE 207, WALDORF, MD 20602-2567
(301) 870-0660
(301) 932-8310
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R127505
MD
Other
Enumeration date
07/07/2005
Last updated
01/07/2008
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