Individual
CAITLIN EILEEN CANCILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
1415 N TAFT ST APT 582, ARLINGTON, VA 22201-2663
(203) 448-6831
Mailing address
1415 N TAFT ST APT 582, ARLINGTON, VA 22201-2663
(203) 448-6831
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/06/2025
Last updated
03/06/2025
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