Individual
MS. ANGELA DAWN SIEMIACZKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
69 RIVERVIEW DRIVE, CHARLTON HEIGHTS, WV 25040-0392
(304) 549-4810
(304) 779-2555
Mailing address
69 RIVERVIEW DRIVE, PO BOX 392, CHARLTON HEIGHTS, WV 25040-0392
(304) 549-4810
(304) 779-2555
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
590
WV
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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