Individual
MRS. BRENDA GERILYN PESTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N. ICCE DOULA
Contact information
Practice address
6780 MAYFIELD RD., MAYFIELD HTS, OH 44124
(440) 312-4647
Mailing address
3478 HANOVER DR., BRUNSWICK, OH 44212
(216) 319-0409
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
RN-197127
OH
374J00000X
Doula
RN197127
OH
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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