Individual
MICHELLE PESCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
650 YONKER CT, FAIRBANKS, AK 99701
(907) 456-1053
Mailing address
650 YONKER CT, FAIRBANKS, AK 99701
(907) 456-1053
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
6989125
AK
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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