Individual
MELISSA PESTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4536 22ND AVE, KENOSHA, WI 53140-5917
(262) 656-0044
Mailing address
4536 22ND AVE, KENOSHA, WI 53140-5917
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7377-33
WI
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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