Individual
JAKE PESTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
350 MYLES STANDISH BLVD, TAUNTON, MA 02780-7387
(508) 824-1355
Mailing address
607 PLEASANT ST, ATTLEBORO, MA 02703-2570
(508) 324-0328
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
05/04/2026
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