Individual
MS. MELANIE BALESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
362 THIRD STREET, LAUGNA BEACH, CA 92651
(949) 494-0761
(949) 494-3514
Mailing address
36 SANTA COMBA, IRVINE, CA 92606-8898
(949) 733-3573
(949) 451-5845
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1729860
CA
Other
Enumeration date
03/21/2007
Last updated
07/08/2007
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