Provider Demographics
NPI:1194478552
Name:MARCELIN, ESPAYLINE
Entity type:Individual
Prefix:
First Name:ESPAYLINE
Middle Name:
Last Name:MARCELIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6850 RICHMOND HWY APT 337
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-1760
Mailing Address - Country:US
Mailing Address - Phone:703-472-2455
Mailing Address - Fax:
Practice Address - Street 1:6850 RICHMOND HWY APT 337
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1760
Practice Address - Country:US
Practice Address - Phone:703-472-2455
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-26
Last Update Date:2022-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program