Individual
MELANIE CIECIUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 23RD ST NW, WASHINGTON, DC 20037-2342
(202) 715-4750
Mailing address
4627 9TH ST S, ARLINGTON, VA 22204-5922
(973) 461-9508
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA2000007
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/18/2021
Last updated
04/19/2022
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