Individual
ANDREW PIESTRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759-2683
(866) 352-5010
Mailing address
5435 MARTHAS PINES DR, BLACKSHEAR, GA 31516-2919
(866) 352-5010
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/27/2023
Last updated
12/27/2023
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