Individual
SUSANNA KMIECIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3800 RESERVOIR RD NW, WASHINGTON, DC 20007-2113
(202) 444-6680
Mailing address
757 WESTWOOD PLZ STE 3304, RONALD REAGAN UCLA MEDICAL CENTER DEPT OF ANESTHESIOLOG, LOS ANGELES, CA 90095-7403
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD045308
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/17/2013
Last updated
03/17/2018
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