Organization
M. RENEE JESPERSEN, MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARSHA RENEE JESPERSEN MD (OWNER)
(703) 893-1111
Entity
Organization
Contact information
Practice address
6845 ELM ST, SUITE 708, MC LEAN, VA 22101-6007
(703) 893-1111
Mailing address
6845 ELM ST, SUITE 708, MC LEAN, VA 22101-6007
(703) 893-1111
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
0101233956
VA
Other
Enumeration date
03/26/2013
Last updated
03/26/2013
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