Individual
AMANDA JICHLINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010
(202) 476-5000
Mailing address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-5000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DR.0060993
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/06/2015
Last updated
08/24/2018
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